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Individual

DR. WILLIAM JOHN CIMIKOSKI JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
10432 S WASATCH BLVD, SANDY, UT 84092-4555
(801) 651-1143
(801) 733-1987
Mailing address
10432 S WASATCH BLVD, SANDY, UT 84092-4555
(801) 651-1143
(801) 733-1987

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
316586-1205
UT
207PT0002X
Medical Toxicology (Emergency Medicine) Physician
MD 429410
PA
207Q00000X
Family Medicine Physician
Primary
316586-1205
UT

Other

Enumeration date
08/05/2007
Last updated
12/14/2021
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