Individual
MS. MELINDA S ROALSTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
1526 WEST UTE BLVD STE 110, PARK CITY, UT 84098
(435) 659-5932
(435) 258-6863
Mailing address
PO BOX 980983, PARK CITY, UT 84098
(435) 659-5932
(435) 258-6863
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3629561206
UT
Other
Enumeration date
04/10/2008
Last updated
10/15/2018
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