Individual
DR. ROBERT J CIONNI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
755 E 3900 S, SALT LAKE CITY, UT 84107-2105
(801) 266-2283
(801) 268-6151
Mailing address
755 E 3900 S, SALT LAKE CITY, UT 84107-2105
(801) 266-2283
(801) 268-6151
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
6429027-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000021151
BCBS FACET
OH
05
—
0742165
—
OH
05
—
100004440
—
IN
05
—
1306833256
—
UT
01
—
180026062
RAIL ROAD MEDICARE NUMBER
OH
05
—
64864309
—
KY
Enumeration date
10/05/2005
Last updated
01/06/2012
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