Individual
ELIZABETH VICKERS SAAREL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
100 MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1103
(801) 662-5400
(801) 662-5414
Mailing address
520 S EAGLE RD STE 2204, MERIDIAN, ID 83642-6351
(208) 336-9188
(208) 336-2636
Taxonomy
Speciality
Code
Description
License number
State
207RA0002X
Adult Congenital Heart Disease Physician
Primary
M-10382
ID
208000000X
Pediatrics Physician
M-10382
ID
2080P0202X
Pediatric Cardiology Physician
35.083015
OH
2080P0202X
Pediatric Cardiology Physician
5957969-1205
UT
2080P0202X
Pediatric Cardiology Physician
7575A
WY
2080P0202X
Pediatric Cardiology Physician
M-10382
ID
Other
Enumeration date
11/03/2006
Last updated
12/02/2020
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