Individual
DR. BENJAMIN METCALFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
11925 S STATE ST, DRAPER, UT 84020
(801) 545-8000
Mailing address
150 W CIVIC CENTER DR, SANDY, UT 84070-4230
(801) 727-2059
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
5101023699
MI
207LP3000X
Pediatric Anesthesiology Physician
Primary
11019100-1204
UT
Other
Enumeration date
04/28/2014
Last updated
09/03/2019
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