Doctor Name: | ELIZABETH LEEANNE DARLING |
NPI Number: | 1114115862 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C MPAS |
License Number: | 6710989-1206 |
Business Practice Address: | 4252 Highland Dr #200 Slc, UT - 841242670 |
Business Phone Number: | 8019931800 |
Business Fax Number: | 8019931699 |
Mailing Address: | 4252 Highland Dr, #200 SLC |
State: | UT |
Postal Code: | 841242670 |
Phone Number: | 8019931800 |
Fax Number: | 8019931699 |
NPI Enumeration Date: | 10/09/2007 |
NPI Last Update Date: | 10/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 6710989-1206 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |