Individual
SARAH BETH WILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
500 FOOT DRIVE, SALT LAKE CITY, UT 84148-4004
(801) 582-1565
Mailing address
500 FOOTHILL DR, SALT LAKE CITY, UT 84148-0001
(801) 582-1565
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
97369331206
UT
390200000X
Student in an Organized Health Care Education/Training Program
7538
GA
Other
Enumeration date
04/06/2015
Last updated
03/17/2018
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