Individual
HANNAH STARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
181 E MEDICAL TOWER DR, MURRAY, UT 84107-4872
(801) 314-4266
Mailing address
181 E MEDICAL TOWER DR, MURRAY, UT 84107-4872
(801) 314-4266
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
11446558-1206
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/10/2018
Last updated
09/11/2020
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