Individual
JULIE ANN GUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9450 S 1300 E, SANDY, UT 84094-5555
(801) 501-2131
(801) 571-1689
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
94-273895-1205
UT
Other
Enumeration date
03/21/2007
Last updated
08/08/2024
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