Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204F00000X | Transplant Surgeon | 12017804-8905 | UT |
NPI | 1144470980 |
---|---|
Provider Name | Dr. Alan Contreras Saldivar |
First Address | Murray, UT 84107-5716 |
Second Address | Murray, UT 84107-5704 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/09/2008 |
Last Update Date | 12/01/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
03198372 | (05) | NY |