Individual
LUISA EDITH TODD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1017 E 600 S, SALT LAKE CITY, UT 84102-3828
(801) 879-1002
Mailing address
1017 E 600 S, SALT LAKE CITY, UT 84102-3828
(801) 879-1002
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
7152617
UT
Other
Enumeration date
10/15/2008
Last updated
10/15/2008
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