Individual
DR. PHILIP NATHANAEL ISENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7495 S STATE ST, MIDVALE, UT 84047-2013
(801) 213-9400
(801) 213-9458
Mailing address
7495 S STATE ST, MIDVALE, UT 84047-2013
(801) 213-9400
(801) 213-9458
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
6353681-1205
UT
208000000X
Pediatrics Physician
6353681-1205
UT
Other
Enumeration date
09/17/2007
Last updated
10/21/2021
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