Individual
MICHELLE WASDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1100 W 2700 N, PLEASANT VIEW, UT 84404-4791
(801) 475-3600
(801) 475-3601
Mailing address
PO BOX 5546, DENVER, CO 80217-5546
(801) 475-3600
(801) 475-3601
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
349500-1206
UT
Other
Enumeration date
10/17/2005
Last updated
01/17/2017
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