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Individual

ROBERT KHANLIAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
275 E 200 S, SALT LAKE CITY, UT 84111-2002
(505) 379-2623
Mailing address
PO BOX 1447, CORRALES, NM 87048-1447
(505) 379-2623

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
78-198
NM

Other

Enumeration date
04/11/2007
Last updated
07/08/2007
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