Individual
SIAVASH MOJIBIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
909 E 2100 S, SALT LAKE CITY, UT 84106-2321
(801) 463-4870
Mailing address
909 E 2100 S, SALT LAKE CITY, UT 84106-2321
(801) 463-4870
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11548303
UT
Other
Enumeration date
08/25/2020
Last updated
08/25/2020
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