Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 7657197-1205 | UT |
N | 207RE0101X | Endocrinologist (Diabetes Doctor) | A86691 | CA |
NPI | 1093910796 |
---|---|
Provider Name | Dr. Amnon Schlegel |
First Address | Salt Lake City, UT 84112-5339 |
Second Address | Salt Lake City, UT 84108-1267 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/06/2007 |
Last Update Date | 18/11/2021 |