Individual
DR. WILLIAM HARMON TETTELBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
308 E 4500 S STE 100, SALT LAKE CITY, UT 84107-4057
(385) 533-8898
Mailing address
3810 LARIAT RD, PARK CITY, UT 84098-4826
(901) 517-1889
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
351005-1205
UT
207RI0200X
Infectious Disease Physician
MD 37898
TN
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
351005-1205
UT
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
MD37898
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3510051205
UTAH LICENSE
UT
05
—
3714443
—
TN
Enumeration date
06/08/2005
Last updated
07/30/2025
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