Individual
AFSHIN AHMADIYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2431 E CATALINA DR, SALT LAKE CITY, UT 84121-3939
(801) 808-8053
Mailing address
2431 EAST CATALINA DRIVE, SALT LAKE CITY, UT 84121
(801) 808-8053
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
8217266-2401
UT
Other
Enumeration date
05/03/2013
Last updated
05/03/2013
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