Daniela Paz Fawson, PA-S

NPI #1699420364 in Logan, Utah

Provider Information

NPI Number: 1699420364
Entity Type: Individual
Name: Daniela Paz Fawson, PA-S
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-S
Enumeration Date: Feb 21, 2022
Last Updated: Dec 7, 2023

Practice Location

Address: 1350 N 500 E
City: Logan
State: Utah
ZIP Code: 84341-2400
Phone: (859) 351-1280

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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