Individual
GABRIELA WALSMAN LEIVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4745 S 3200 W, TAYLORSVILLE, UT 84129-2822
(801) 964-6214
(877) 497-4661
Mailing address
220 W 7200 S, SUITE A, MIDVALE, UT 84047-1043
(801) 858-3461
(801) 955-2389
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9641756-1205
UT
207Q00000X
Family Medicine Physician
P9026
TX
Other
Enumeration date
05/04/2011
Last updated
01/31/2017
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