Individual
DR. BETHANY A. LUECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
30 N MARIO CAPECCHI RM 2S100, 400 W PUEBLO STREET, SALT LAKE CITY, UT 84112
(801) 581-2121
(805) 569-7317
Mailing address
30 N MARIO CAPECCHI RM 2S100, 400 W PUEBLO STREET, SALT LAKE CITY, UT 84112
(801) 581-2121
(805) 569-7317
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
14206966-1205
UT
208D00000X
General Practice Physician
ME149484
FL
Other
Enumeration date
05/09/2019
Last updated
03/11/2025
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