Tress Sophia Keogh

NPI #1245967199 in Salt Lake City, Utah

Provider Information

NPI Number: 1245967199
Entity Type: Individual
Name: Tress Sophia Keogh
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: Aug 2, 2022
Last Updated: May 2, 2023

Practice Location

Address: 3723 S 645 E
City: Salt Lake City
State: Utah
ZIP Code: 84106-1147
Phone: (704) 999-8743

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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