Individual
DR. KRISTINA CALLIS DUFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-1100
(801) 581-2955
Mailing address
PO BOX 3208, SALT LAKE CITY, UT 84110-3208
(801) 587-6340
(801) 587-6346
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
47678111205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100506949
—
NV
05
—
807213700
—
ID
05
—
870468377001
—
UT
Enumeration date
07/15/2006
Last updated
10/21/2021
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