Individual
AMIR HASKIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2870 E 3300 S, SALT LAKE CITY, UT 84109-2821
(801) 432-8626
Mailing address
2870 E 3300 S, SALT LAKE CITY, UT 84109-2821
(801) 432-8626
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
322409-1204
UT
Other
Enumeration date
08/28/2020
Last updated
08/28/2020
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