Individual
DR. ROBERT H ANDTBACKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
(801) 581-2121
Mailing address
PO BOX 58681, SALT LAKE CITY, UT 84158-0681
(801) 213-3800
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
6273962-1205
UT
2086X0206X
Surgical Oncology Physician
6273962-1205
UT
Other
Enumeration date
08/20/2006
Last updated
02/12/2015
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