Individual
THEODORE SCHULTHEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15 MEDICAL DR STE 1100, SALT LAKE CITY, UT 84112-1100
(801) 581-4390
Mailing address
15 MEDICAL DR STE 1100, SALT LAKE CITY, UT 84112-1100
(801) 581-4390
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
11053756-1205
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/23/2015
Last updated
06/12/2019
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