Individual
GLICEIDA M. GALARZA FORTUNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
30 N 1900 E RM 5C402, SALT LAKE CITY, UT 84132-0002
(801) 585-0120
Mailing address
30 N 1900 E RM 5C402, SALT LAKE CITY, UT 84132-0002
(801) 585-0120
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
12808704-1205
UT
Other
Enumeration date
05/24/2018
Last updated
12/26/2025
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