Individual
JUSTIN T CASTELLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 E 3900 S, MILLCREEK, UT 84124-1300
(208) 367-8063
(208) 367-8067
Mailing address
1200 E 3900 S, SALT LAKE CITY, UT 84124-1300
(208) 367-8063
(208) 367-8067
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0101264380
VA
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
0101264380
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/09/2015
Last updated
06/20/2023
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