Individual
TAMMY DUNKLEBARGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-3248
(801) 646-0412
Mailing address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-3248
(801) 646-0412
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
11765756-3102
UT
Other
Enumeration date
11/08/2023
Last updated
01/04/2024
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