Individual
DR. JIE LUO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1220 E 3900 S STE 30, SALT LAKE CITY, UT 84124-1377
(801) 368-7725
(877) 642-3374
Mailing address
PO BOX 742382, ATLANTA, GA 30374-2382
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
11476978-1205
UT
208VP0014X
Interventional Pain Medicine Physician
Primary
11476978-1205
UT
Other
Enumeration date
04/03/2013
Last updated
12/20/2019
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