Individual
DR. MOHAMMAD M. DBEISI I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
900 ROUND VALLEY DR, PARK CITY, UT 84060
(801) 442-1702
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
044334
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1689686370
NPI
UT
Enumeration date
08/12/2006
Last updated
11/02/2018
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