Individual provider · Type 1 NPI

Sean Anthony Ponce, MD

Addiction Medicine (Family Medicine) Physician · Salt Lake City, UT

NPI number 1376577049 Active

Practice location

3802 S 700 E
Salt Lake City, UT 84106-1182

Call (801) 264-6004 Map

Fax (801) 264-6098

Specialties and licenses

TaxonomyCodeLicense
Addiction Medicine (Family Medicine) Physician Primary 207QA0401X4976571-1205 (UT)

Addiction Medicine (Family Medicine) Physician: A family medicine physician who specializes in the diagnosis and treatment of addictions.

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About NPI 1376577049

Sean Anthony Ponce, MD's National Provider Identifier is 1376577049, issued on Jul 10, 2006. The primary taxonomy on file is Addiction Medicine (Family Medicine) Physician (207QA0401X), and the practice location is in Salt Lake City, UT. The record was last updated on Apr 29, 2016.