Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RH0003X | Hematology & Oncology | 4301092057 | MI |
N | 207RH0003X | Hematology & Oncology | 836621-1205 | UT |
Y | 207RX0202X | Medical Oncology | 8366221-1205 | UT |
NPI | 1124172697 |
---|---|
Provider Name | Justin A Call |
First Address | Salt Lake City, UT 84124-1214 |
Second Address | West Jordan, UT 84088-8812 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/01/2007 |
Last Update Date | 10/10/2016 |