Individual
DR. JEAN ELIZABETH DEDRICK-ZEHNDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6108 OAK CANYON DR, SALT LAKE CITY, UT 84121-6344
(801) 272-1640
Mailing address
6108 OAK CANYON DR, SALT LAKE CITY, UT 84121-6344
(801) 272-1640
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
1826861205
UT
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
1826861205
UT
Other
Enumeration date
01/10/2006
Last updated
08/27/2007
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