Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223E0200X | Endodontist | 8459338-9922 | UT |
NPI | 1073777611 |
---|---|
Provider Name | Dr. Christopher John Sadler |
First Address | Cottonwood Heights, UT 84093-5405 |
Second Address | Salt Lake City, UT 84121-2117 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/07/2008 |
Last Update Date | 04/09/2013 |