Provider Demographics
NPI:1952893257
Name:HITZ, VICTORIA HUNTER (PA)
Entity Type:Individual
Prefix:
First Name:VICTORIA
Middle Name:HUNTER
Last Name:HITZ
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1255 E 3900 S
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84124-1365
Mailing Address - Country:US
Mailing Address - Phone:801-269-8200
Mailing Address - Fax:
Practice Address - Street 1:1255 E 3900 S
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84124-1365
Practice Address - Country:US
Practice Address - Phone:801-269-8200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-01
Last Update Date:2021-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant