Individual
DIXIE MENDENHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
167 MAIN ST, TUBA CITY, AZ 86045
(801) 425-7451
Mailing address
5616 S 3750 W, ROY, UT 84067-8161
(801) 425-7451
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110010303
VA
363A00000X
Physician Assistant
114
MP
Other
Enumeration date
08/29/2020
Last updated
01/17/2025
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