Crissi Leiann Willardson, PA-C

NPI #1356675912 in West Jordan, Utah

Provider Information

NPI Number: 1356675912
Entity Type: Individual
Name: Crissi Leiann Willardson, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Sep 29, 2009
Last Updated: Nov 28, 2019

Practice Location

Address: 3895 W 7800 S STE 100
City: West Jordan
State: Utah
ZIP Code: 84088-5616
Phone: (801) 309-6048

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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