Individual
ANTHONY CRETARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15 N MEDICAL DR STE 1100, SALT LAKE CITY, UT 84112-1100
(801) 581-4390
Mailing address
800 BRADBURY DR SE STE 116, ALBUQUERQUE, NM 87106-4310
(505) 272-1476
Taxonomy
Speciality
Code
Description
License number
State
207ZC0006X
Clinical Pathology Physician
11753392-1205
UT
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
11753392-1205
UT
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD2021-0446
NM
Other
Enumeration date
03/27/2016
Last updated
01/30/2025
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