Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207SG0201X | Clinical Genetics (M.D.) | 2963521205 | UT |
Y | 2080N0001X | Neonatal-Perinatal Doctor | 2963521205 | UT |
NPI | 1588677660 |
---|---|
Provider Name | Susan H Morelli |
First Address | Salt Lake City, UT 84127-0128 |
Second Address | Provo, UT 84604-3380 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/08/2006 |
Last Update Date | 26/10/2010 |