1 SOURCE 211 SERVICES

NPI: 1407536766 · Organization · Active

Primary Specialty

Public Health & General Preventive Medicine Physician
Preventive Medicine — Public Health & General Preventive Medicine

Practice Location

955 E 200 S
SALT LAKE CITY, UT 84102-2432 Map ↗
Phone: 702-462-0067

All Specialties & Licenses

  • Public Health & General Preventive Medicine Physician Primary — Public Health & General Preventive Medicine

NPI Registration

Enumerated: 2023-07-21

Last CMS Update: 2024-06-22