person
Maxi Edra Dax, PA
Medical Physician Assistant in Panguitch, Utah
NPI 1538617014

Maxi Edra Dax is a Medical Physician Assistant based in Panguitch, UT and is specialized in Medical. Maxi Edra Dax practices in Panguitch, UT and has the professional credentials of PA. The NPI Number for Maxi Edra Dax is 1538617014 and holds a License No. 10079306-1206 (Utah).

The current practice location address for Maxi Edra Dax is 200 North 400 East, Panguitch, UT and can be reached out via phone at 435-690-1246.

Location: 200 North 400 East, Panguitch, UT, 84759
person
Provider Profile Details
NPI Number
1538617014
Provider Name
Maxi Edra Dax
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
200 North 400 East, Panguitch, UT, 84759
Phone Number
435-690-1246
Fax Number
Provider Enumeration Date
09/14/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
200 North 400 East
City
State
Zip
84759
Phone Number
435-690-1246
Fax Number
person
Provider Business Mailing Address Details
Address
200 North 400 East
City
State
Zip
84759
Phone Number
435-690-1246
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
10079306-1206 (Utah)
Definition
Definition to come...
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