Individual
JOHN D. KRIESEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
(801) 585-2031
Mailing address
PO BOX 581700, SALT LAKE CITY, UT 84158-1700
(801) 213-3800
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
181533-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003056100
—
ID
05
—
09871
—
UT
01
—
110086240
RAILROAD MEDICARE
UT
Enumeration date
10/13/2006
Last updated
11/17/2021
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