Individual
MELISSA SUAREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
299 S MAIN ST, SUITE 1300 PMB 94922, SALT LAKE CITY, UT 84111
(385) 202-3140
Mailing address
299 S MAIN ST, SUITE 1300 PMB 94922, SALT LAKE CITY, UT 84111
(385) 202-3140
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
363AM0700X
Medical Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
08/23/2024
Last updated
07/03/2025
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