Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MAXI EDRA DAX, PA
Active Sole ProprietorMAXI EDRA DAX, PA is a Medical Physician Assistant healthcare provider located in PANGUITCH, Utah. NPI 1538617014 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · PANGUITCH, UT
Registration Details
- NPI Number
- 1538617014
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 14, 2016 (9.7326594885004 yrs)
- Last Updated
- Jan 25, 2024
- License
-
10079306-1206 (UT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
200 NORTH 400 EASTPANGUITCH, UT, 84759Browse UT providers · Browse ZIP 84759
- Phone
- 4356901246
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.