Individual
DR. GEORGE MICHAEL SAMADASHWILY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D PH.D
Contact information
Practice address
UNIVERSITY OF UTAH, 30 NORTH 1900 EAST 4A330, SALT LAKE CITY, UT 84132-0001
(801) 581-6465
(801) 581-6484
Mailing address
30 NORTH 1900 EAST 4A330, UNIVERSITY OF UTAH, UNIVERSITY HOSPITAL, DERMATOLOGY, SALT LAKE CITY, UT 84132
(801) 581-6465
(801) 581-6484
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/13/2009
Last updated
05/13/2009
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