Individual
DR. ANDREW JARED PELLATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8TH AVE C STREET, SALT LAKE CITY, UT 84143-4000
(801) 634-4135
(801) 408-4710
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
T5001
TX
207RH0003X
Hematology & Oncology Physician
13694985-1205
UT
Other
Enumeration date
04/26/2018
Last updated
11/20/2024
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