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Individual

GABRIELA MOTYCKOVA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD, PHD

Contact information

Practice address
8TH AVENUE AND C STREET, BLOOD AND MARROW TRANSPLANT/LEUKEMIA PROGRAM, SALT LAKE CITY, UT 84103-0001
(801) 408-3043
Mailing address
8 TH AVENUE AND C ST, BLOOD AND MARROW TRANSPLANT/LEUKEMIA PROGRAM, SALT LAKE CITY, UT 84143-0001
(801) 408-3043

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
234610
MA
207RH0000X
Hematology (Internal Medicine) Physician
234610
MA
207RH0003X
Hematology & Oncology Physician
Primary
234610
MA
207RX0202X
Medical Oncology Physician
234610
MA

Other

Enumeration date
02/26/2007
Last updated
05/29/2014
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