Shelby Maryann Moderow
Shelby Maryann Moderow is a Physician Assistant in Hill AFB, Utah. Qualified in 2022, 4 years ago. Practices with University of Utah Behavioral Health Services, a 188-clinician group and accepts Medicare assignment.
- Years since qualifying
- 4
- In the registry since
- 2022
Practice location Address checks out
7321 Balmer St # 570Hill AFB, UT 84056-5012
Phone: (801) 586-2273
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Physician Assistant (primary) | Taxonomy 363AM0700X |
|---|
Record details
| NPI number | 1366164535 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | September 14, 2022 |
| Last updated in NPPES | September 14, 2022 |
| Certification date | September 14, 2022 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Group practice | University Of Utah Behavioral Health Services — 188 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Hill AFB
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Thomas Earl Schneider, PA
7321 Balmer St Bldg 570, Hill AFB, UT 84056 · (801) 777-5285