Individual
ANASTASIYA MANKOUSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5121 S COTTONWOOD ST, SALT LAKE CITY, UT 84107-5701
(801) 507-7000
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(201) 527-5501
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
10102332-1205
UT
Other
Enumeration date
10/06/2016
Last updated
11/20/2021
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