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Individual

HUNTER REEVE UNDERHILL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
100 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1103
(801) 213-3599
Mailing address
127S 500 E, SUITE 600, SALT LAKE CITY, UT 84102-1971
(801) 587-6336
(801) 715-8228

Taxonomy

Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
MD00048675
WA
207SG0202X
Clinical Biochemical Genetics Physician
Primary
9097278-1205
UT
207T00000X
Neurological Surgery Physician
MD00048675
WA
208000000X
Pediatrics Physician
9097278-1205
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1609193622
WA
Enumeration date
04/29/2010
Last updated
07/27/2022
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