Martha L Short in Salt Lake City - Physician Assistant
Martha L Short - NPI 1568526507
Martha L Short is a Physician Assistant in Salt Lake City, Utah. Martha L Short practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Martha L Short is 1568526507. The last update date is 2016-03-28.
Martha L Short's current location address is Po Box 25608, Salt Lake City, Utah. You can contact this provider via phone number 2063204476 and fax number 2065687043. The mailing address for Martha L Short is Po Box 25608, Salt Lake City, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Martha L Short |
|---|---|
| Address | Po Box 25608, Salt Lake City, Utah |
| Phone Number | 2063204476 |
| Fax Number | 2065687043 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1568526507 |
|---|---|
| Provider Enumeration Date | 2006-12-21 |
| Last Updated Date | 2016-03-28 |
Provider Mailing Address Detail
| Address | Po Box 25608 |
|---|---|
| City | Salt Lake City |
| State | Utah (UT) |
| Post Code | 841250608 |
| Phone Number | 2063204476 |
| Fax Number | 2065687043 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA10004271 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 201547 | WA | LABOR AND INDUSTRIES | |
| 84323790 | WA | -- |
Post Comment/ Review Below
Could you provide the complete physical address where Martha L Short is located?
The Martha L Short is situated at the following address: Po Box 25608, Salt Lake City, UT, 841250608.
Could you kindly provide the complete physical address where Martha L Short's facilities are geographically located?
The facilities of Martha L Short are physically situated at the following location: Po Box 25608, Salt Lake City, UT, 841250608.
On what date did the Centers for Medicare & Medicaid Services assign the 1568526507 to Martha L Short?
The Centers for Medicare & Medicaid Services assigned the 1568526507 to Martha L Short on 2006-12-21.
When was the information related to Martha L Short most recently updated or refreshed?
The details pertaining to the Martha L Short, including its address, specialty, and other relevant information, were last updated or refreshed on 2016-03-28.
As of what date was the information regarding Martha L Short, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Martha L Short, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2016-03-28.