Sharon Massinople PAC

NPI 1740387133 - Physician Assistant - 363A00000X

NPI Details
NPI 1740387133
Gender Female
Enumeration Date 09/20/2006
Last Updated 04/22/2016
Entity Type Individual
Active Over 11 years ago
Practice Location
389 S 900 E
SALT LAKE CITY UT, 84102-2310, US
Phone (385) 282-2500
Business Location
PO BOX 27128
SALT LAKE CITY UT, 84127-0128, US
Phone (385) 282-2500
Fax (304) 293-6963
Taxonomy Code 363A00000X
License State West Virginia
License Number 894
Remove 1740387133 NPI Number

According to our database, Sharon Massinople PAC NPI is 1740387133, taxonomy code is 363A00000X and license number is 894, license state is located at West Virginia. Sharon Massinople PAC physically located at 389 S 900 E, Salt Lake City UT, 84102-2310. NPI Number Sharon Massinople PAC has the Individual type.

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1740387133 NPI number is provided on an as is basis without warranty of any kind. 1740387133 is maintained by the National Plan & Provider Enumeration System. The contents of Sharon Massinople PAC are for informational purposes only.