Individual
ANDREW DORAIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
30 N 1900 E, 1C412 UNIVERSITY MEDICAL CENTER, SALT LAKE CITY, UT 84132-0002
(801) 581-2401
Mailing address
617 3RD AVE, SALT LAKE CITY, UT 84103-3451
(801) 628-3929
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
WILL OBTAIN
UT
Other
Enumeration date
04/26/2010
Last updated
04/26/2010
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