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MEREDITH BANNON, PA

PA

Physician Assistant

NPI: 1336373216IndividualAccepts Medicare

Specialties, Licenses & Credentials

Physician AssistantPrimary

Physician Assistant

Code: 363A00000X

7849376-1206(UT)

CMS Specialties

Education

OTHER

Class of 2009

Contact & Hours

Address
777 BANNOCK ST
SALT LAKE CITY, UT 84132

Quick Facts

NPI
1336373216
Entity Type
Individual
Gender
Female
Medicare
Accepted
Specialties
1
Locations
1
Years in Practice
17

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