Individual
ANITA MARY SAMUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MBA
Contact information
Practice address
501 CHIPETA WAY, SALT LAKE CITY, UT 84108
(801) 583-2500
Mailing address
501 S CHIPETA WAY, SALT LAKE CITY, UT 84108-1222
(801) 583-2500
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
14243583-1205
UT
Other
Enumeration date
03/27/2024
Last updated
10/21/2025
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