Individual
VANESSA ELIZABETH HALVORSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
819 E MARKET PLACE DR, SPANISH FORK, UT 84660-1396
(385) 344-6710
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
13877640-1204
UT
Other
Enumeration date
05/24/2018
Last updated
11/07/2024
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