Individual
JESSICA IVANKA TREIDL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
30 N 1900 E, #1A071, SALT LAKE CITY, UT 84132-2140
(801) 581-7553
Mailing address
30 N 1900 E, #1A071, SALT LAKE CITY, UT 84132-2140
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
131997
MT
2085R0202X
Diagnostic Radiology Physician
25IA12601300
NJ
2085R0202X
Diagnostic Radiology Physician
Primary
9529333-1205
UT
Other
Enumeration date
04/16/2015
Last updated
01/29/2026
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