Individual
DR. FELIPPE BORLOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., MSC.
Contact information
Practice address
175 N MEDICAL DR E, SALT LAKE CITY, UT 84132-0001
(801) 585-2868
(801) 581-4192
Mailing address
1580 S 2300 E, SALT LAKE CITY, UT 84108-2745
(801) 585-2868
(801) 581-4192
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
CREMESP 117664
ZZ
390200000X
Student in an Organized Health Care Education/Training Program
CPSO# 101447
ZZ
Other
Enumeration date
09/22/2016
Last updated
09/22/2016
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