Individual provider · Type 1 NPI
Iliana Thornton, PA-C
Surgical Physician Assistant · Salt Lake City, UT
NPI number
1073971644
Active
Practice location
50 N Medical Dr
Salt Lake City, UT 84132-0001
Mailing address
433 S Fletcher Ct
Salt Lake City, UT 84102-3022
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | 9683489-1206 (UT) |
| Surgical Physician Assistant Primary | 363AS0400X | 9683489-1206 (UT) |
Surgical Physician Assistant: Definition to come...
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About NPI 1073971644
Iliana Thornton, PA-C's National Provider Identifier is 1073971644, issued on Feb 10, 2016. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Salt Lake City, UT. The record was last updated on Sep 19, 2022.