Individual
DONNA KAY PHILIPPI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1550 E. 3300 S., SALT LAKE CITY, UT 84106
(801) 631-1624
(801) 210-7426
Mailing address
1550 E. 3300 S., SALT LAKE CITY, UT 84106
(801) 631-1624
(801) 210-7426
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
323344-1204
UT
2084P0800X
Psychiatry Physician
3233441204
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107012521101
INTERMOUNTAIN HEALTH CARE
UT
01
—
341619
DESERET MUTUAL
UT
01
—
942938348015
CHAMPUS
UT
01
—
942938348PH1
EDUCATORS MUTUAL
UT
Enumeration date
12/20/2005
Last updated
08/08/2019
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