Individual
SAVANNAH HANCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
5121 S COTTONWOOD ST, SALT LAKE CITY, UT 84107-5701
(801) 507-6415
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
14046439-1206
UT
363A00000X
Physician Assistant
PA2831
NV
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
02/10/2023
Last updated
10/22/2024
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