Individual
GEORGE BISSADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
150 W GOLTZ AVE APT B121, SALT LAKE CITY, UT 84101-3231
(385) 487-7935
Mailing address
150 W GOLTZ AVE APT B121, SALT LAKE CITY, UT 84101-3231
(385) 487-7935
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/28/2024
Last updated
04/10/2024
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