Individual
DR. ISABELLA OSCAR HEDWIG TCACIUC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1020 S MAIN ST, SLC, UT 84101-3176
(801) 539-7000
(801) 539-7050
Mailing address
540 N MARATHON CIR, SLC, UT 84108-1646
(801) 363-6486
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
5211300-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107029551101
INTERMOUNTAIN HEALTH CARE
UT
01
—
863047
DESERET MUTUAL
UT
01
—
942938348TCA
EDUCATORS MUTUAL
UT
Enumeration date
01/31/2006
Last updated
12/16/2021
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