Individual
DR. BENJAMIN DEE GREENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 MARIO CAPECCHI DR, DEPT. OF ANESTHESIA- PRIMARY CHILDREN'S HOSPITAL, SALT LAKE CITY, UT 84113-1103
(801) 662-3578
Mailing address
1659 E WESTMINSTER AVE, SALT LAKE CITY, UT 84105-3830
(917) 968-9215
Taxonomy
Speciality
Code
Description
License number
State
207LP3000X
Pediatric Anesthesiology Physician
2008-00809
NC
207LP3000X
Pediatric Anesthesiology Physician
43142
KY
207LP3000X
Pediatric Anesthesiology Physician
Primary
8557253-1205
UT
Other
Enumeration date
05/12/2008
Last updated
06/17/2013
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