Individual
MICHELLE PLOUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1103
(801) 662-1000
(018) 213-7778
Mailing address
3200 E CAMELBACK RD STE 250, PHOENIX, AZ 85018-2327
(602) 933-1814
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
128528
OH
2080P0202X
Pediatric Cardiology Physician
Primary
11260386-8905
UT
2080P0202X
Pediatric Cardiology Physician
128528
OH
2080P0202X
Pediatric Cardiology Physician
54407
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/12/2009
Last updated
11/11/2021
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