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Individual

JAKUB SIKORA-KLAK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1160 E 3900 S STE 5000, SALT LAKE CITY, UT 84124-1275
(801) 261-7479
Mailing address
1160 E 3900 S STE 5000, SALT LAKE CITY, UT 84124-1275
(801) 261-7479

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
12358040-1205
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
S6740
TMB
TX
Enumeration date
04/07/2014
Last updated
10/13/2021
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