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SYDNEY FONTAINE
Physician Assistant
NPI: 1366160921IndividualAccepts Medicare
Specialties, Licenses & Credentials
Physician AssistantPrimary
Physician Assistant
Code: 363A00000X
12919118-1206(UT)
CMS Specialties
PrimaryPHYSICIAN ASSISTANT
Education
OTHER
Class of 2022
Contact & Hours
- Address
- 30 N 1900 E # 3B400
SALT LAKE CITY, UT 84132 - Phone
- (801) 581-7719
Quick Facts
- NPI
- 1366160921
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 1
- Years in Practice
- 4
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