Individual
ANNETTE MACINTYRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
50 N MEDICAL DR, SLC, UT 84132-0100
(801) 581-6393
Mailing address
PO BOX 413034, SALT LAKE CITY, UT 84141-3034
(801) 213-3900
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
5302582-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050036679
RAILROAD MEDICARE PIN
UT
Enumeration date
11/22/2006
Last updated
12/13/2013
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