Individual
DIEGO IZE-LUDLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
81 S MARIO CAPECCHI DR, SALT LAKE CITY, UT 84112-5888
(801) 662-1640
Mailing address
9143 N JEREMY RD, PARK CITY, UT 84098-4892
(385) 315-1345
Taxonomy
Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
Primary
9855274-1205
UT
Other
Enumeration date
06/13/2006
Last updated
11/06/2024
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