Organization
INA AMBER MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
INA J AMBER MD (MD PRIVATE PRACTICE)
(801) 268-6830
Entity
Organization
Contact information
Practice address
1151 E 3900 SO, SUITE B275, SALT LAKE CITY, UT 84124
(801) 268-6830
(801) 262-3584
Mailing address
1151 E 3900 SO, SUITE B275, SALT LAKE CITY, UT 84124
(801) 268-6830
(801) 262-3584
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
1717901205
UT
282N00000X
General Acute Care Hospital
1717901205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1760549927
INIVIDUAL NPI
UT
05
—
366482338051
—
UT
Enumeration date
12/20/2007
Last updated
09/24/2020
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