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Individual

DR. ANGELA DE LA O

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1140 E 3900 S, 360, SALT LAKE CITY, UT 84124-1228
(801) 264-8686
(801) 264-8962
Mailing address
1140 E 3900 S, 360, SALT LAKE CITY, UT 84124-1228
(801) 264-8686
(801) 264-8962

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
6825154-1205
UT

Other

Enumeration date
04/24/2008
Last updated
08/18/2021
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