Individual provider · Type 1 NPI
Shannon Taylor Thurston, PA-C
Medical Physician Assistant · Green River, UT
NPI number
1821243684
Active
Practice location
585 West Main Street
Green River, UT 84525
Fax (435) 564-3214
Mailing address
6405 S 3000 E Ste 300
Salt Lake City, UT 84121-6977
Other practice locations
- 3152 N University Ave Ste 240, Provo, UT 84604-4746 · (801) 900-5655
- 3152 N University Ave Ste 240, Provo, UT 84604 · (801) 900-5655
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 7154120-1206 (UT) |
Medical Physician Assistant: Definition to come...
3 other providers at this address
Other medical physician assistant providers in Green River
About NPI 1821243684
Shannon Taylor Thurston, PA-C's National Provider Identifier is 1821243684, issued on Nov 20, 2008. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Green River, UT. The record was last updated on Feb 5, 2024.