Individual
NATHANIEL KWAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1187 E 3900 S, SALT LAKE CITY, UT 84124-1201
(801) 263-3041
Mailing address
1187 E 3900 S, SALT LAKE CITY, UT 84124-1201
(801) 263-3041
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
13181453-1205
UT
207RG0100X
Gastroenterology Physician
S2824
TX
Other
Enumeration date
04/22/2013
Last updated
08/21/2023
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