Individual
DR. LOUIS MARIE VIOLLET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
295 S CHIPETA WAY, SALT LAKE CITY, UT 84108-1287
(801) 585-6600
Mailing address
1038 E NORTHBONNEVILLE DR, SALT LAKE CITY, UT 84103-4003
(801) 541-2077
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
10118502-1205
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10118502-1205
UTAH MEDICAL LICENSE
UT
Enumeration date
10/03/2014
Last updated
04/27/2018
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