Individual
DR. SARAH TAMARA MENACHO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
175 NORTH MEDICAL DRIVE EAST, 5TH FLOOR, UNIVERSITY OF UTAH DEPARTMENT OF NEUROSURGERY, SALT LAKE CITY, UT 84132-0001
(801) 581-6908
Mailing address
175 N. MEDICAL DRIVE EAST, 5TH FLOOR, SALT LAKE CITY, UT 84132
(801) 581-6908
(801) 581-4385
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
Q4955
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
347924801 (MDACC)
—
TX
Enumeration date
10/31/2008
Last updated
11/22/2021
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