Organization · Type 2 NPI
Immunology Division Department of University of Utah
Clinical & Laboratory Immunology (Internal Medicine) Physician · Salt Lake City, UT
NPI number
1891857835
Active
Practice location
50 N Medical Dr
Salt Lake City, UT 84132-0001
Mailing address
PO Box 413033
Salt Lake City, UT 84141-0001
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine Physician | 207R00000X | None listed |
| Clinical & Laboratory Immunology (Internal Medicine) Physician Primary | 207RI0001X | None listed |
| Infectious Disease Physician | 207RI0200X | None listed |
Clinical & Laboratory Immunology (Internal Medicine) Physician: An internal medicine physician who specializes in clinical and laboratory immunology disease management.
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About NPI 1891857835
Immunology Division Department of University of Utah's National Provider Identifier is 1891857835, issued on Dec 15, 2006. The primary taxonomy on file is Clinical & Laboratory Immunology (Internal Medicine) Physician (207RI0001X), and the practice location is in Salt Lake City, UT. The record was last updated on Apr 14, 2009.