Individual
LAURA PRINCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
30 N 1900 E # 3C344, SALT LAKE CITY, UT 84132-0002
(801) 581-8301
(801) 581-3433
Mailing address
30 N 1900 E # 3C344, SALT LAKE CITY, UT 84132-0002
(801) 581-8301
(801) 581-3433
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
9165165-1206
UT
Other
Enumeration date
10/14/2014
Last updated
11/12/2021
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