Individual
ROBERT L MAZZOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8TH & C STREET, INTERMOUNTAIN SLEEP DISORDERS CENTER - LDS HOSPITAL, SALT LAKE CITY, UT 84143
(801) 408-3617
(801) 412-3160
Mailing address
8TH & C STREET, INTERMOUNTAIN SLEEP DISORDERS CENTER - LDS HOSPITAL, SALT LAKE CITY, UT 84143
(801) 408-3617
(801) 412-3160
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
5860780-1205
UT
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
5860780-1205
UT
207RP1001X
Pulmonary Disease Physician
5860780-1205
UT
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
5860780-1205
UT
Other
Enumeration date
11/20/2006
Last updated
11/27/2012
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