MRS. Constance King, PHYSICIAN ASSISTANT

NPI #1437272820 in Midvale, Utah

Provider Information

NPI Number
1437272820
Entity Type
Individual
Name
MRS. Constance King, PHYSICIAN ASSISTANT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant - Medical
Credential
PHYSICIAN ASSISTANT
Enumeration Date
Apr 9, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
1225 FORT UNION BLVD
Address 2
200
State
Utah
ZIP Code
84047-1889
Phone
(801) 466-3102

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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