Individual provider · Type 1 NPI

Olivia Fisher Walton, PA

Medical Physician Assistant · Salt Lake City, UT

NPI number 1366556003 Active

Practice location

500 Foothill Blvd, Mail Code 112
Salt Lake City, UT 84148-0001

Call (801) 582-1565 Map

Fax (801) 584-2587

Mailing address

346 Pierpont Ave # 117
Salt Lake City, UT 84101-1799

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X4767014-1206 (UT)

Medical Physician Assistant: Definition to come...

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About NPI 1366556003

Olivia Fisher Walton, PA's National Provider Identifier is 1366556003, issued on Aug 19, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Salt Lake City, UT. The record was last updated on Jul 8, 2007.