Individual
SHAHRZAD ROYA WOODBRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
30 N 1900 E, SOM 1C026, SALT LAKE CITY, UT 84132
(801) 581-2272
Mailing address
30 N 1900 E, SOM 1C026, SALT LAKE CITY, UT 84132-0002
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
12404265-1204
UT
207P00000X
Emergency Medicine Physician
Primary
DO214548
OR
207P00000X
Emergency Medicine Physician
O-1794
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201844875WA
—
WA
Enumeration date
09/05/2018
Last updated
06/14/2023
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