Individual
MRS. DONTAI WARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2075 UNIVERSITY PARK BLVD, LAYTON, UT 84041-1611
(801) 614-5500
(801) 825-8519
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 614-5500
(801) 825-8519
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9172019-1206
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
U000097081
—
UT
Enumeration date
10/20/2014
Last updated
04/26/2017
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