Individual
JENNY C TUAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
(801) 581-2353
Mailing address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
(801) 581-2353
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
8622851-1205
UT
208M00000X
Hospitalist Physician
Primary
8622851-1205
UT
208M00000X
Hospitalist Physician
D72521
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
554112300
—
MD
01
—
974418-01
CAREFIRST BC/BS
MD
01
—
S062-0431
CAREFIRST BC/BS - REGIONAL
MD
Enumeration date
06/02/2008
Last updated
12/20/2021
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