Individual
EWA GNIADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4403 HARRISON BLVD STE 3630, OGDEN, UT 84403-3287
(801) 387-7900
(801) 387-7910
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301105300
MI
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
11004974-1205
UT
Other
Enumeration date
06/27/2014
Last updated
05/25/2023
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