Individual
DR. PAUL SEAN CARBONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
50 N MEDICAL DR, GENERAL PEDIATRICS, SALT LAKE CITY, UT 84132-0001
(801) 581-3501
(801) 581-3899
Mailing address
295 CHIPETA WAY, U OF U SOM DEPT OF PEDIATRICS, SALT LAKE CITY, UT 84132-0001
(801) 587-7400
(801) 587-7417
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
61338711205
UT
208000000X
Pediatrics Physician
A061998
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100510844
—
NV
05
—
D6737
—
UT
Enumeration date
01/27/2006
Last updated
11/11/2021
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