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Individual

DR. TREVOR H. MEMMOTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
100 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1103
(801) 662-5712
Mailing address
100 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1103
(801) 662-5712

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
R76848
AZ
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
12236681-1205
UT

Other

Enumeration date
05/23/2018
Last updated
12/08/2024
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