Individual
JENNIKA LYN MCPECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
745 S 2000 W, SYRACUSE, UT 84075-9621
(801) 525-2400
Mailing address
745 S 2000 W, SYRACUSE, UT 84075-9621
(801) 525-2400
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5545531-1206
UT
Other
Enumeration date
10/28/2009
Last updated
05/10/2013
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