Individual
AKILA MANSOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
15 N MEDICAL DR STE 1100, SALT LAKE CITY, UT 84112-1100
(801) 587-4563
Mailing address
15 N MEDICAL DR STE 1100, SALT LAKE CITY, UT 84112-1100
(801) 587-4563
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
12508856-1205
UT
Other
Enumeration date
03/22/2018
Last updated
03/22/2023
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