Individual
SAMER ABDELWAHAB SALEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
395 W COUGAR BLVD FL 5, PROVO, UT 84604-3323
(801) 357-7291
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 357-7291
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
8449093-1205
UT
207RP1001X
Pulmonary Disease Physician
Primary
8449093-1205
UT
207RP1001X
Pulmonary Disease Physician
A81808
CA
207RS0012X
Sleep Medicine (Internal Medicine) Physician
8449093-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5812
SD STATE LICENSE
SD
Enumeration date
09/14/2006
Last updated
03/27/2024
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