Individual
DR. MASOOD SAFAEE-SEMIROMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4401 HARRISON BLVD, OGDEN, UT 84403-3195
(801) 387-3364
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 387-3364
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
3807011205
UT
208M00000X
Hospitalist Physician
3807011205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
942854057031
—
UT
Enumeration date
07/21/2006
Last updated
07/09/2008
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