Individual
MISS REBECCA J SIMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
344 E 100 S, SLC, UT 84111-1700
(801) 428-4257
Mailing address
344 E 100 S, SLC, UT 84111-1700
(801) 428-4257
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1863
NE
363A00000X
Physician Assistant
494
WY
363AM0700X
Medical Physician Assistant
PA269
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA1Q5
BLUE CROSS
ID
Enumeration date
11/13/2006
Last updated
12/06/2023
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