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Individual

ANDREW G. DUBINA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
590 S WAKARA WAY, SALT LAKE CITY, UT 84108-1200
(801) 536-3600
Mailing address
590 S WAKARA WAY, SALT LAKE CITY, UT 84108-1200
(801) 536-3600

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
12218054-1205
UT
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
12218054-1205
UT
2084P0804X
Child & Adolescent Psychiatry Physician
317527
NY

Other

Enumeration date
03/22/2016
Last updated
07/22/2023
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