Healthcare Provider Details

I. General information

NPI: 1780993097
Provider Name (Legal Business Name): MEGAN DIANE BARRATT PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MEGAN DIANE BURNS

II. Dates (important events)

Enumeration Date: 10/04/2010
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5171 S COTTONWOOD ST STE 210
MURRAY UT
84107-5718
US

IV. Provider business mailing address

PO BOX 27128
SALT LAKE CITY UT
84127-0128
US

V. Phone/Fax

Practice location:
  • Phone: 801-507-3380
  • Fax:
Mailing address:
  • Phone: 801-507-3380
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number9040560-1206
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: