| Doctor Name: | MELINDA CHOATE |
| NPI Number: | 1336385707 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | 7201056-1205 |
| Business Practice Address: | 2356 N. 400 E. Suite 201 Tooele, UT - 84074 |
| Business Phone Number: | 4358822350 |
| Business Fax Number: | 4358822039 |
| Mailing Address: | 2356 N. 400 E., Suite 201 TOOELE |
| State: | UT |
| Postal Code: | 84074 |
| Phone Number: | 4358822350 |
| Fax Number: | 4358822039 |
| NPI Enumeration Date: | 01/06/2009 |
| NPI Last Update Date: | 03/21/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 7201056-1205 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | UT |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |