Individual
CARLA SUAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
9450 S 1300 E, SANDY, UT 84094
(801) 571-7061
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
11240950-1204
UT
Other
Enumeration date
04/25/2016
Last updated
06/12/2019
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