Individual
KRISTA HUFFAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9450 S 1300 E, SANDY, UT 84094-5555
(801) 576-0176
(801) 523-8657
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
PA60433
CA
363A00000X
Physician Assistant
Primary
12954328-1206
UT
Other
Enumeration date
06/15/2020
Last updated
03/09/2023
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