Individual
DR. NICOLE DIEBAG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
100 N MARIO CAPECCHI DR STE 4400, SALT LAKE CITY, UT 84113-1103
(801) 662-3277
Mailing address
100 N MARIO CAPECCHI DR STE 4400, SALT LAKE CITY, UT 84113-1103
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
12359815-4101
UT
Other
Enumeration date
06/29/2021
Last updated
07/20/2021
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