Individual
DR. JAMIE ZUSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6095 S FASHION BLVD, MURRAY, UT 84107-7397
(801) 581-2955
Mailing address
PO BOX 3208, SALT LAKE CITY, UT 84110-3208
(801) 587-6340
(801) 587-6346
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
8971104-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174775621
—
CA
Enumeration date
10/15/2008
Last updated
12/20/2021
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