Individual
DR. SABINE KOEPF-SHAKIB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
BOUNTIFUL CLINIC, 390 NORTH MAIN STREET, BOUNTIFUL, UT 84010
(801) 397-6550
Mailing address
PO BOX 58005, SALT LAKE CITY, UT 84158-0005
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
8437477-1205
UT
Other
Enumeration date
04/20/2011
Last updated
08/25/2020
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