Individual
DR. JAY K RIVA-CAMBRIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1103
(801) 662-5340
(801) 662-5345
Mailing address
PO BOX 413030, SALT LAKE CITY, UT 84141-3030
(801) 662-5340
(801) 662-5345
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
6197043-1205
UT
2086S0120X
Pediatric Surgery Physician
Primary
6197043-1205
UT
Other
Enumeration date
08/31/2006
Last updated
11/26/2013
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