Martha P Mandujano in Salt Lake City - Physician Assistant
Martha P Mandujano - NPI 1356446215
Martha P Mandujano is a Physician Assistant in Salt Lake City, Utah. Martha P Mandujano practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Martha P Mandujano is 1356446215. The last update date is 2021-11-20.
Martha P Mandujano's current location address is 4745 S 3200 W, Salt Lake City, Utah. You can contact this provider via phone number 8019646214 and fax number 8019829232. The mailing address for Martha P Mandujano is 4745 S 3200 W, Salt Lake City, Utah. To know further, please read the information below!
Provider Profile Detail
Provider Name | Martha P Mandujano |
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Address | 4745 S 3200 W, Salt Lake City, Utah |
Phone Number | 8019646214 |
Fax Number | 8019829232 |
Sole Proprietor | N |
Credentials | PA-C |
NPI Number Detail
NPI Number | 1356446215 |
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Provider Enumeration Date | 2006-09-14 |
Last Updated Date | 2021-11-20 |
Provider Mailing Address Detail
Address | 4745 S 3200 W |
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City | Salt Lake City |
State | Utah (UT) |
Post Code | 841182822 |
Phone Number | 8019646214 |
Fax Number | 8019829232 |
Provider's Primary Taxonomy Detail
Speciality | Physician Assistant |
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Taxonomy | 363A00000X |
Licence No | 6028041-1206 |
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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What is the unique 10-digit identification code issued to Martha P Mandujano by the Centers for Medicare & Medicaid Services?
The Martha P Mandujano has been assigned the NPI (National Provider Identifier) 1356446215 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical address where Martha P Mandujano is geographically located?
The Martha P Mandujano is physically situated at the following location: 4745 S 3200 W, Salt Lake City, UT, 841182822.
What is the Martha P Mandujano's area of specialization and corresponding taxonomy classification?
The Martha P Mandujano's specialty field is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their specialties.
On what date did the Martha P Mandujano receive the assignment of its 1356446215 from the Centers for Medicare & Medicaid Services?
The Martha P Mandujano was issued its 1356446215 by the Centers for Medicare & Medicaid Services on 2006-09-14.
When was the information regarding Martha P Mandujano, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Martha P Mandujano, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2021-11-20.