Individual
ERMITA BORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2055 VILLAGE POINT WAY, SANDY, UT 84093-2681
(801) 318-2894
(801) 944-3729
Mailing address
2055 VILLAGE POINT WAY, SANDY, UT 84093-2681
(801) 318-2894
(801) 944-3729
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
5756331-1205
UT
261QP2300X
Primary Care Clinic/Center
575633-1205
UT
Other
Enumeration date
06/15/2007
Last updated
04/03/2013
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