Individual
REGINA ELLEN ROSENTHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
324 10TH AVE STE 249, SALT LAKE CITY, UT 84103-2889
(801) 408-3555
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 442-1400
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
105791022
UT
Other
Enumeration date
02/14/2007
Last updated
11/17/2021
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