Individual
DR. FERAS MOH'D ALI BADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
(801) 581-2121
Mailing address
PO BOX 581700, SALT LAKE CITY, UT 84158-1700
(801) 581-2121
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
5349755-1205
UT
207RC0000X
Cardiovascular Disease Physician
Primary
5349755-1205
UT
Other
Enumeration date
07/08/2006
Last updated
09/21/2012
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