Individual
DR. ORNELLA ESTELLE KOUOMEGNE-SIMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
30 N MARIO CAPECCHI DR RM 3N100, SALT LAKE CITY, UT 84112
(801) 581-2121
Mailing address
30 N MARIO CAPECCHI DR RM 3N100, SALT LAKE CITY, UT 84112
(801) 581-2121
Taxonomy
Speciality
Code
Description
License number
State
207RM1200X
Magnetic Resonance Imaging (MRI) Internal Medicine Physician
Primary
14225369-1205
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/06/2019
Last updated
06/16/2025
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