Individual
PETER MICHAEL FONDARIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
344 E 100 S, SUITE 301, SALT LAKE CITY, UT 84111-1700
(801) 322-4257
Mailing address
2114 S 50 E, CLEARFIELD, UT 84015-2199
(801) 322-4257
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
05/19/2013
Last updated
05/19/2013
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