Individual
MICHELLE REGRUTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8 TH AVENUE AND C ST, SALT LAKE CITY, UT 84143-0001
(801) 408-5482
(801) 408-5481
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 507-6990
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
7471379-1205
UT
208M00000X
Hospitalist Physician
Primary
7471379-1205
UT
Other
Enumeration date
11/03/2008
Last updated
07/14/2017
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