Individual
ANSEL MALAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
201 PRESIDENTS CIR, SALT LAKE CITY, UT 84112-9049
(801) 581-7498
Mailing address
6256 HIDDEN HILLS DR, MOUNTAIN GREEN, UT 84050-6739
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/26/2025
Last updated
07/26/2025
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