Individual
DR. MANUEL IGNACIO RODRIGUEZ-DAVALOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1103
(801) 662-1000
Mailing address
PO BOX 30180, SALT LAKE CITY, UT 84130-0180
(801) 662-1000
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
002448
NY
204F00000X
Transplant Surgery Physician
Primary
10316088-1205
UT
208600000X
Surgery Physician
002448
NY
208600000X
Surgery Physician
30592
AZ
Other
Enumeration date
01/12/2007
Last updated
12/03/2022
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