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Individual

MS. ANNA DOUGLAS GUY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
100 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1103
(801) 662-4261
(801) 662-4285
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11377403-1206
UT
363A00000X
Physician Assistant
AZ

Other

Enumeration date
09/19/2017
Last updated
09/05/2024
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