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NPI Code Detail

MEDICARE: EMILY BAHR PA-C

MEDICARE: EMILY BAHR PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant14270960-1206UT

General Provider Information

NPI Number : 1295567345
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY BAHR PA-C
Provider Business Mailing Address
First Line : PO BOX 30180
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84130-0180
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5295 S COMMERCE DR STE 550
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84107-4736
Country : US
Telephone Number : 801-313-4110
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/16/2024
Last Update Date : 03/20/2026

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Directions to “ EMILY BAHR PA-C” Practice Location

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