Organization
DIABETES HEALTH MANAGEMENT PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RODOLFO MARTINEZ-FERRATE (MANAGER)
(202) 505-2007
Entity
Organization
Contact information
Practice address
9425 S UNION SQ # 103, SANDY, UT 84070-3402
(202) 505-2007
Mailing address
1192 E DRAPER PKWY # 404, DRAPER, UT 84020-9356
(202) 505-2007
Taxonomy
Speciality
Code
Description
License number
State
207QS1201X
Sleep Medicine (Family Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
G7005
—
UT
Enumeration date
11/29/2010
Last updated
07/21/2022
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