Shayne Mcquivey PA-C

NPI 1720199078 - Physician Assistant - 363AS0400X

NPI Details
NPI 1720199078
Gender Male
Enumeration Date 08/31/2006
Last Updated 09/07/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
5848 FASHION BLVD
MURRAY UT, 84107-6121, US
Phone (801) 314-4900
Fax (801) 314-4919
Business Location
5848 FASHION BLVD
MURRAY UT, 84107-6121, US
Phone (801) 314-4900
Fax (801) 314-4919
Toxanomy
Taxonomy Code 363AS0400X
License State Utah
License Number 97-345479-1206
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According to our database, Shayne Mcquivey PA-C NPI is 1720199078, taxonomy code is 363AS0400X and license number is 97-345479-1206, license state is located at Utah. Shayne Mcquivey PA-C physically located at 5848 Fashion Blvd, Murray UT, 84107-6121. NPI Number Shayne Mcquivey PA-C has the Individual type.

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1720199078 NPI number is provided on an as is basis without warranty of any kind. 1720199078 is maintained by the National Plan & Provider Enumeration System. The contents of Shayne Mcquivey PA-C are for informational purposes only.