Individual
DR. SUSAN D. POHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
555 FOOTHILL DR # 310, SALT LAKE CITY, UT 84112-1106
(254) 585-8000
Mailing address
4524 PARK HILL DR, SALT LAKE CITY, UT 84124-3834
(801) 652-8310
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
7251166
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080176900
RR/MEDICARE
TX
05
—
1462996-01
—
TX
01
—
1462996-02
CSHCN
TX
01
—
8B4707
BLUE SHIELD
TX
Enumeration date
03/28/2006
Last updated
11/11/2021
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