Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 746955-1205 | UT |
Y | 2080P0201X | Pediatric Allergist | 156955-1205 | UT |
NPI | 1366532962 |
---|---|
Provider Name | Harry R. Hill |
First Address | Salt Lake City, UT 84158-1700 |
Second Address | Salt Lake City, UT 84132-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/10/2006 |
Last Update Date | 31/08/2020 |