Arizona Integrative Medical

NPI #1477358356 in Bluffdale, Utah

Provider Information

NPI Number: 1477358356
Entity Type: Organization
Organization Name: Arizona Integrative Medical
Primary Specialty: Physician Assistant
Enumeration Date: Feb 15, 2025
Last Updated: Feb 15, 2025

Practice Location

Address: 14424 S CANVASBACK LN
City: Bluffdale
State: Utah
ZIP Code: 84065-1762
Phone: (801) 580-9690

Authorized Official

Name: MRS. SHANNON PAGE WATT
Title: OWNER, CEO
Phone: (801) 580-9690

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X
Physician Assistant	363A00000X	Primary

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