Susanna Parker
Susanna Parker is a Physician Assistant in Bountiful, Utah. Practices as a sole proprietor. Licensed in Utah.
- Licensed in
- UT
- In the registry since
- 2023
Practice location Address checks out
415 Medical Dr Ste A100Bountiful, UT 84010-4995
Phone: (801) 683-1062
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 14242213-1206 (UT) |
|---|
Record details
| NPI number | 1922707264 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | February 27, 2023 |
| Last updated in NPPES | May 22, 2026 |
| Certification date | May 22, 2026 |
| Mailing address | 148 N 360 W, Centerville, UT 84014-2139 |
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