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Individual

AMILCAR FABIAN CARDONA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
391 S CHIPETA WAY, SALT LAKE CITY, UT 84108-1263
(801) 581-4800
Mailing address
6600 BRUCEVILLE RD, SACRAMENTO, CA 95823-4671
(916) 866-2005

Taxonomy

Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
4301108523
MI
2083X0100X
Occupational Medicine Physician
Primary
9857459
UT
2083X0100X
Occupational Medicine Physician
A145248
CA

Other

Enumeration date
04/04/2014
Last updated
02/11/2022
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