Provider Demographics
NPI:1538469663
Name:ORGILL, JOANNA KINA (PA-C)
Entity type:Individual
Prefix:
First Name:JOANNA
Middle Name:KINA
Last Name:ORGILL
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:155 N 400 W
Mailing Address - Street 2:SUITE B6
Mailing Address - City:OREM
Mailing Address - State:UT
Mailing Address - Zip Code:84057-1909
Mailing Address - Country:US
Mailing Address - Phone:801-224-1300
Mailing Address - Fax:
Practice Address - Street 1:155 N 400 W
Practice Address - Street 2:SUITE B6
Practice Address - City:OREM
Practice Address - State:UT
Practice Address - Zip Code:84057-1909
Practice Address - Country:US
Practice Address - Phone:801-224-1300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-22
Last Update Date:2010-10-22
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant