Rebecca Diane Shirley
NPI #1184398133 in Salt Lake City, Utah
Provider Information
- NPI Number
- 1184398133
- Entity Type
- Individual
- Name
- Rebecca Diane Shirley
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant
- Enumeration Date
- Aug 3, 2021
- Last Updated
- Dec 20, 2021
Practice Location
- Address
- 50 N MEDICAL DR
- City
- Salt Lake City
- State
- Utah
- ZIP Code
- 84132-4074
- Phone
- (801) 581-7818
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
| Physician Assistant |
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