Most Relevant Information
Provider Data
NPI Number: | 1003368283 |
Provider Name: | MCKIE ALAN DELAHUNTY PA-C |
Entity Type: | Individual |
Taxonomy Code: | 363A00000X |
Specialty: | Physician Assistant |
License Number: | 10119894-1206 |
Most Important Dates
Enumeration Date: | 11/03/2016 |
Last Updated: | 03/28/2023 |
Provider Practice Location
4000 S 700 E STE 10
SALT LAKE CITY
UT
841072580
Practice Location Phone/Fax
Phone: | 8012684141 |
Fax: |
Provider Mailing Location
4000 S 700 E STE 10
SALT LAKE CITY
UT
841072580
Provider Mailing Phone/Fax
Phone: | 8012684141 |
Fax: |