Individual
ERICA T MENINNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
220 W 7200 S STE A, MIDVALE, UT 84047-1043
(801) 566-5494
(877) 497-4661
Mailing address
2621 S 3270 W, WEST VALLEY CITY, UT 84119-1119
(852) 612-6143
(877) 497-4661
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
13214887-1205
UT
Other
Enumeration date
04/09/2020
Last updated
06/15/2023
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