Sharon D Massinople, PAC | |
389 S 900 E, Salt Lake City, UT 84102-2310 | |
(385) 282-2500 | |
Not Available |
Full Name | Sharon D Massinople |
---|---|
Gender | Female |
Speciality | Physician Assistant |
Location | 389 S 900 E, Salt Lake City, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740387133 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | 894 (West Virginia) | Secondary |
363A00000X | Physician Assistant | 8625364-1206 (Utah) | Primary |
Mailing Address | Practice Location Address |
---|---|
Sharon D Massinople, PAC Po Box 27128, Salt Lake City, UT 84127-0128 Ph: (385) 282-2500 | Sharon D Massinople, PAC 389 S 900 E, Salt Lake City, UT 84102-2310 Ph: (385) 282-2500 |
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