Individual
ANNA RUTH EVERETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2295 S FOOTHILL DR, SALT LAKE CITY, UT 84109-4000
(801) 486-3021
(801) 485-6339
Mailing address
2295 S FOOTHILL DR, SALT LAKE CITY, UT 84109-4000
(801) 486-3021
(801) 485-6339
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11102959-1206
UT
Other
Enumeration date
03/25/2019
Last updated
10/27/2021
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