Individual
SHAYNE MCQUIVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5848 FASHION BLVD, MURRAY, UT 84107-6121
(801) 314-4900
(801) 314-4919
Mailing address
5848 FASHION BLVD, MURRAY, UT 84107-6121
(801) 314-4900
(801) 314-4919
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
97-345479-1206
UT
Other
Enumeration date
08/31/2006
Last updated
09/07/2012
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