Individual
ALYSSA M. ECKERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
81 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1125
(801) 662-5700
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(410) 933-6423
(410) 500-4266
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
12994414-1205
UT
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
MD
Other
Enumeration date
03/31/2021
Last updated
06/06/2024
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