Individual
GABRIELLE A. SCANNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
30 N 1900 E RM 4C116, SALT LAKE CITY, UT 84132-0002
(801) 581-7606
Mailing address
30 N 1900 E RM 4C116, SALT LAKE CITY, UT 84132-0002
(801) 581-7606
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
11885446-1205
UT
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
11885446-1205
UT
Other
Enumeration date
03/21/2019
Last updated
07/14/2023
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