Individual
ALBERT THOMAS VITALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
65 N MEDICAL DR, SLC, UT 84132-1000
(801) 581-3195
Mailing address
50 N MEDICAL DR, SLC, UT 84132-0001
(801) 581-3195
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
5212942-1205
UT
Other
Enumeration date
11/01/2006
Last updated
12/20/2021
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