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Individual

DR. CYNTHIA ROSE CANGA-SIAO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
74 E KIMBALLS LN STE 300, DRAPER, UT 84020-5009
(801) 572-0311
(801) 571-1363
Mailing address
PO BOX 198560, ATLANTA, GA 30384-8560

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
743003-1205
UT
207R00000X
Internal Medicine Physician
A72274
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1669497558
UT
Enumeration date
07/13/2006
Last updated
02/11/2022
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