Individual
NIKOLAS MICHAEL DAMME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
30 N 1900 EAST #1A071, APT B4, SALT LAKE CITY, UT 84413-2140
(801) 581-7553
Mailing address
30 N 1900 E, SALT LAKE CITY, UT 84132-0002
(801) 581-7553
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
87809651205
UT
390200000X
Student in an Organized Health Care Education/Training Program
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—
Other
Enumeration date
04/24/2012
Last updated
10/18/2021
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