Individual
NICK MAMALIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
MORAN EYE CTR, 65 MARIO CAPECCHI DR, SALT LAKE CITY, UT 84132-0001
(801) 581-2352
Mailing address
PO BOX 413075, SALT LAKE CITY, UT 84141-3075
(801) 213-3900
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
176555-1205
UT
Other
Enumeration date
08/21/2006
Last updated
11/20/2021
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