Individual
MICHAEL THOMAS GIOVANNIELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10011 S CENTENNIAL PKWY, STE 500, SANDY, UT 84070
(801) 676-7627
(801) 676-7630
Mailing address
10011 S CENTENNIAL PKWY, STE 500, SANDY, UT 84070
(801) 676-7627
(801) 676-7630
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
49069701205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1316160534
GROUP NPI
UT
Enumeration date
01/23/2006
Last updated
03/05/2008
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