Individual provider · Type 1 NPI

Manuel Ignacio Rodriguez-Davalos, MD

Transplant Surgery Physician · Salt Lake City, UT

NPI number 1306996053 Active

Practice location

100 N Mario Capecchi Dr
Salt Lake City, UT 84113-1103

Mailing address

PO Box 30180
Salt Lake City, UT 84130-0180

Specialties and licenses

TaxonomyCodeLicense
Transplant Surgery Physician 204F00000X002448 (NY)
Surgery Physician 208600000X002448 (NY)
Surgery Physician 208600000X30592 (AZ)
Transplant Surgery Physician Primary 204F00000X10316088-1205 (UT)

Transplant Surgery Physician: A surgeon who specializes in transplant surgery.

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About NPI 1306996053

Manuel Ignacio Rodriguez-Davalos, MD's National Provider Identifier is 1306996053, issued on Jan 12, 2007. The primary taxonomy on file is Transplant Surgery Physician (204F00000X), and the practice location is in Salt Lake City, UT. The record was last updated on Dec 3, 2022.