Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 35-07-9427 | OH |
N | 111NI0900X | Internist | 35-07-9427 | OH |
N | 207R00000X | Internist | 7833672-1205 | UT |
N | 111NI0900X | Internist | 7833672-1205 | UT |
N | 208000000X | Pediatrician | 35-07-9427 | OH |
N | 2080A0000X | Adolescent Medicine | 35.079427 | OH |
N | 2080A0000X | Adolescent Medicine | 7833672-1205 | UT |
NPI | 1053369942 |
---|---|
Provider Name | Michael G Spigarelli |
First Address | Salt Lake City, UT 84141-3021 |
Second Address | Salt Lake City, UT 84132-0100 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/05/2006 |
Last Update Date | 02/01/2014 |