Individual
TIFFANY VOLDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
30 N 1900 E RM 4C104, SALT LAKE CITY, UT 84132-0002
(801) 581-7606
Mailing address
8517 VERNON AVE, OMAHA, NE 68134-2192
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9644939-1205
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/04/2014
Last updated
11/06/2017
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