Individual
MR. BONG JIK KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
50 NORTH MEDICAL DRIVE 3C120, OTOLARYNGOLOGY ADMINISTRATION OFFICE, SALT LAKE CITY, UT 84132
(801) 581-7514
(801) 585-5744
Mailing address
50 NORTH MEDICAL DRIVE 3C120, OTOLARYNGOLOGY ADMINISTRATION OFFICE, SALT LAKE CITY, UT 84132
(801) 581-7514
(801) 585-5744
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/17/2015
Last updated
07/17/2015
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