Individual
PATRICIA JEAN ROMNEY CHURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
82 S 1100 E STE 303, SALT LAKE CITY, UT 84102-1891
(801) 533-2002
(801) 323-9546
Mailing address
24 S 1100 E, SUITE 101, SALT LAKE CITY, UT 84102-1500
(801) 355-6468
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
372963-1206
UT
363A00000X
Physician Assistant
PA21756
CA
363AS0400X
Surgical Physician Assistant
Primary
372963-1206
UT
Other
Enumeration date
10/19/2011
Last updated
06/21/2023
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