Individual
DR. TASHA NICOLE ELLCHUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSC, MD, FRCPC
Contact information
Practice address
DEPARTMENT OF RADIOLOGY 30 NORTH 1900 E, SLC, UT 84132-0001
(801) 581-4626
Mailing address
DEPARTMENT OF RADIOLOGY 30 NORTH 1900 E, SLC, UT 84132-0001
(801) 581-4626
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
7057751-1205
UT
Other
Enumeration date
11/11/2008
Last updated
11/11/2008
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