Individual
DR. FADI ASFOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 MARIO CAPECCHI DR, PEDIATRIC PULMONARY CLINIC, SALT LAKE CITY, UT 84113-1103
(801) 213-3599
Mailing address
PO BOX 581289, SALT LAKE CITY, UT 84158-1289
(801) 587-7512
Taxonomy
Speciality
Code
Description
License number
State
2080P0214X
Pediatric Pulmonology Physician
Primary
8099274-1205
UT
Other
Enumeration date
08/22/2008
Last updated
12/03/2021
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