Individual
DR. DALLAS SHUJING SHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, PHD, MBA
Contact information
Practice address
391 S CHIPETA WAY STE C, SALT LAKE CITY, UT 84108-1294
(801) 581-4800
Mailing address
391 S CHIPETA WAY STE C, SALT LAKE CITY, UT 84108-1294
(801) 581-4800
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
11405462-1205
UT
Other
Enumeration date
04/10/2018
Last updated
09/13/2019
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