Individual provider · Type 1 NPI

Samantha Miyuki Sueoka, PA-C

Physician Assistant · Salt Lake City, UT

NPI number 1861283558 Active

Practice location

2295 S Foothill Dr
Salt Lake City, UT 84109-4000

Fax (801) 485-6339

Mailing address

326 E Shamrock Dr
Murray, UT 84107-3981

Other practice locations

  • 6360 S 3000 E Ste 100, Salt Lake City, UT 84121-6924 · (801) 365-1032

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X14291199-1206 (UT)

Physician Assistant: 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 perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1861283558

Samantha Miyuki Sueoka, PA-C's National Provider Identifier is 1861283558, issued on May 13, 2025. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Salt Lake City, UT. The record was last updated on Jul 27, 2026.