Individual
ELIZABETH LANE RYALS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
100 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1103
(801) 662-1800
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
Primary
9560138-1205
UT
2085R0202X
Diagnostic Radiology Physician
9560138-1205
UT
Other
Enumeration date
04/24/2014
Last updated
08/04/2022
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