Individual
INA JUDITH AMBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
24 S 1100 E STE 310, SALT LAKE CITY, UT 84102-1500
(801) 328-1260
(801) 350-4361
Mailing address
24 S 1100 E STE 310, SALT LAKE CITY, UT 84102-1500
(801) 328-1260
(801) 350-4361
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
171790-1205
UT
282N00000X
General Acute Care Hospital
171790-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000057369
MEDICARE ID
UT
Enumeration date
01/03/2007
Last updated
01/15/2021
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