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Individual

DR. GIOSUE PETER FEOLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
100 N MEDICAL DR, SALT LAKE CITY, UT 84113-1103
(801) 662-1900
(801) 662-1810
Mailing address
869 E 4500 S, PMB 511, SALT LAKE CITY, UT 84107-3049
(801) 487-0451
(801) 487-2467

Taxonomy

Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
DR.0075917
CO
2085P0229X
Pediatric Radiology Physician
Primary
347711-1205
UT
2085P0229X
Pediatric Radiology Physician
DR.0075917
CO
2085R0202X
Diagnostic Radiology Physician
DR.0075917
CO
2085R0204X
Vascular & Interventional Radiology Physician
DR.0075917
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
107008012101
SELECTHEALTH
UT
01
1600053
UNITED HEALTHCARE
UT
01
2287
UUHN
UT
01
35834
DESERT MUTUAL
UT
01
47290
PUBLIC EMPLOYEES HEALTH
UT
01
8550895
AETNA
UT
01
870355724FE1
EDUCATORS MUTUAL
UT
01
QM0000027099
ALTIUS
UT
Enumeration date
09/26/2006
Last updated
10/03/2025
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