Individual
MRS. SHANNON TAYLOR THURSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
585 WEST MAIN STREET, GREEN RIVER, UT 84525
(435) 564-3434
(435) 564-3214
Mailing address
6405 S 3000 E STE 300, SALT LAKE CITY, UT 84121-6977
(801) 266-3113
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
7154120-1206
UT
Other
Enumeration date
11/20/2008
Last updated
02/05/2024
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