Individual
TONY GIANOULIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MHA
Contact information
Practice address
96 E KIMBALLS LN, DRAPER, UT 84020-5020
(801) 641-7396
Mailing address
294 N FEDERAL HEIGHTS CIR, SALT LAKE CITY, UT 84103-4490
(801) 641-7396
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
186030-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
190382600
US DEPT OF LABOR
UT
01
—
212703
DESERET MUTUAL
UT
01
—
32665
PEHP
UT
01
—
52945
HEALTHY U
UT
01
—
870525882
WPS WEST REGION
UT
01
—
870525882GI1
EDUCATORS MUTUAL
UT
01
—
PR00526
MOLINA
UT
01
—
QM0000076595
ALTIUS
UT
Enumeration date
09/13/2006
Last updated
05/24/2023
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