Individual
SAMUEL PASSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
755 E 3900 S, SALT LAKE CITY, UT 84107-2176
(801) 266-2283
(801) 268-6151
Mailing address
755 E 3900 S, SALT LAKE CITY, UT 84107-2176
(801) 263-5757
(801) 263-5758
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
LL38491
SC
207W00000X
Ophthalmology Physician
Primary
11727694-1205
UT
207W00000X
Ophthalmology Physician
65283
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/12/2015
Last updated
07/14/2020
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