Individual
BARRY ALAN BENOWITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
324 10TH AVE, SUITE 250, SALT LAKE CITY, UT 84103-2853
(801) 408-2600
(801) 408-5141
Mailing address
324 10TH AVENUE, SUITE 250, SALT LAKE CITY, UT 84103
(801) 408-2600
(801) 408-5141
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
159201-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
U000005327
PTAN
UT
Enumeration date
05/17/2006
Last updated
10/27/2011
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