# INA AMBER MD LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437333895
- **Authorized official:** INA J AMBER MD (MD PRIVATE PRACTICE)
- **Authorized official phone:** (801) 268-6830

## Contact information

- **Practice address:** 1151 E 3900 SO, SUITE B275, SALT LAKE CITY, UT 84124
- **Practice address phone:** (801) 268-6830
- **Practice address fax:** (801) 262-3584
- **Mailing address:** 1151 E 3900 SO, SUITE B275, SALT LAKE CITY, UT 84124
- **Mailing address phone:** (801) 268-6830
- **Mailing address fax:** (801) 262-3584

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RI0200X | Infectious Disease Physician | 1717901205 | UT | Yes |
| 282N00000X | General Acute Care Hospital | 1717901205 | UT | — |

## Other

- **Enumeration date:** 12/20/2007
- **Last updated:** 09/24/2020