Individual
KAJSA ELIZABETH AFFOLTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
UNIVERSITY OF UTAH HOSPITAL, 50 NORTH MEDICAL DRIVE, SALT LAKE CITY, UT 84132-0001
(801) 581-2507
Mailing address
PO BOX 413033, SALT LAKE CITY, UT 84141-3033
(801) 213-3900
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
8134258-1205
UT
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
8134258-1205
UT
390200000X
Student in an Organized Health Care Education/Training Program
39
UT
Other
Enumeration date
04/15/2010
Last updated
12/03/2021
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