Individual
CARRIE L SLOAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.LLC
Contact information
Practice address
96 E KIMBALLS LN STE 202, DRAPER, UT 84020-5021
(801) 523-3053
(801) 523-3059
Mailing address
PO BOX 198546, ATLANTA, GA 30384-8546
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
5666633-1205
UT
Other
Enumeration date
07/31/2006
Last updated
01/28/2022
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