Individual
IAN MECHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
26 N 1900 E, SALT LAKE CITY, UT 84132-0002
(801) 581-5943
Mailing address
30N 1900 E 1C412, SALT LAKE CITY, UT 84132-0002
(801) 633-3003
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
5071797-1205
UT
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
5071797-1205
UT
207RP1001X
Pulmonary Disease Physician
5071797-1205
UT
Other
Enumeration date
03/30/2011
Last updated
04/24/2016
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