Individual
ANDREW DANIEL FONTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
295 S CHIPETA WAY, SALT LAKE CITY, UT 84108-1287
(801) 587-7572
Mailing address
295 S CHIPETA WAY, SALT LAKE CITY, UT 84108-1287
(801) 587-7572
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
11709353-1204
UT
Other
Enumeration date
04/10/2017
Last updated
06/05/2020
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