Individual
DR. AMANDA M. TJITRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
HELIX: 30 N MARIO CAPECCHI DRIVE 5S146, SALT LAKE CITY, UT 84112
(801) 581-2121
Mailing address
HELIX: 30 N MARIO CAPECCHI DRIVE 5S146, SALT LAKE CITY, UT 84112
(801) 581-2121
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
13521414-1205
UT
207VE0102X
Reproductive Endocrinology Physician
Primary
13521414-1205
UT
Other
Enumeration date
03/30/2022
Last updated
04/21/2026
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