Individual
DR. ROSEMARY ANN DESHAZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
50 N 1900 E, UNIV OF UTAH INTERNAL MEDICINE DEPT, SOM 4C104, SALT LAKE CITY, UT 84132-0001
(801) 581-7606
Mailing address
755 WINDSOR ST, SALT LAKE CITY, UT 84102-3614
(801) 520-1403
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
6020020-1205
UT
207R00000X
Internal Medicine Physician
6020020-1205
UT
Other
Enumeration date
12/29/2006
Last updated
10/20/2021
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