Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 8971173-1205 | UT |
NPI | 1083846018 |
---|---|
Provider Name | Jules Aljammal |
First Address | Salt Lake City, UT 84152-0247 |
Second Address | Salt Lake City, UT 84124-2695 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/08/2009 |
Last Update Date | 25/07/2019 |