Individual
MELISSA VITALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
295 S CHIPETA WAY RM 2S010, SALT LAKE CITY, UT 84108-1287
(801) 581-2121
Mailing address
295 S CHIPETA WAY RM 2S010, SALT LAKE CITY, UT 84108-1287
(801) 581-2121
Taxonomy
Speciality
Code
Description
License number
State
2080C0008X
Child Abuse Pediatrics Physician
Primary
13928338-1205
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/03/2021
Last updated
04/26/2024
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