Individual provider · Type 1 NPI

Mary Menlove, PA-C

Medical Physician Assistant · Murray, UT

NPI number 1144305699 Active

Practice location

6095 Fashion Blvd
Murray, UT 84107-7397

Call (801) 581-2955 Map

Mailing address

PO Box 3208
Salt Lake City, UT 84110-3208

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X54164451206 (UT)
Physician Assistant 363A00000X54164451206 (UT)

Medical Physician Assistant: Definition to come...

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About NPI 1144305699

Mary Menlove, PA-C's National Provider Identifier is 1144305699, issued on Oct 25, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Murray, UT. The record was last updated on May 17, 2012.