Individual
DIANA GRAZULIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6360 S 3000 E, STE 100, SALT LAKE CITY, UT 84121-6923
(801) 365-1032
(801) 365-1033
Mailing address
6360 S 3000 E, STE 100, SALT LAKE CITY, UT 84121-6923
(801) 365-1032
(801) 365-1033
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3639911205
UT
Other
Enumeration date
06/27/2006
Last updated
07/08/2007
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