Individual
AMY NOEL DE LA GARZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
807 E SOUTH TEMPLE STE 101, SALT LAKE CITY, UT 84102-1358
(801) 369-8989
(801) 704-9741
Mailing address
807 E SOUTH TEMPLE STE 101, SALT LAKE CITY, UT 84102-1358
(801) 369-8989
(801) 704-9741
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
7887891
UT
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
7887891-1205
UT
Other
Enumeration date
06/07/2010
Last updated
12/17/2021
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