Individual
PAUL KRAKOVITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1103
(801) 213-3599
Mailing address
100 N MARIO CAPECCHI DR STE 1450, SALT LAKE CITY, UT 84113-1103
(801) 662-1740
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
35081306K
OH
207YP0228X
Pediatric Otolaryngology Physician
Primary
10544333-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2363740
—
OH
Enumeration date
04/20/2006
Last updated
12/20/2021
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