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AUDIE CHRISTOPHER ESPINOZA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
100 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1103
(801) 587-7575
Mailing address
454 E 3RD AVE APT 5, SALT LAKE CITY, UT 84103-2788
(214) 738-5675

Taxonomy

Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
101890
MT
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
26632820
TX

Other

Enumeration date
06/09/2015
Last updated
09/30/2022
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