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Individual

MOUSA AODH ALBALWI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
(801) 581-2121
Mailing address
30 N 1900 E RM 4C116, SALT LAKE CITY, UT 84132-1678
(801) 581-2401

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
10955717-1205
UT

Other

Enumeration date
07/10/2017
Last updated
10/09/2018
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