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Individual

ANDREA ARNOLD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
8 TH AVE & C ST, SALT LAKE CITY, UT 84143-0001
(801) 408-1100
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 408-3043

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
70348891206
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
70348891206
UTAH PHYSICIAN ASSISTANT LICENSE
UT
Enumeration date
02/20/2009
Last updated
09/30/2011
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