Individual
DR. JULIE HAYEDEH SHAKIB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
(801) 581-2205
(801) 581-3899
Mailing address
PO BOX 413021, PEDS ADMIN, SALT LAKE CITY, UT 84141-3021
(801) 213-3900
(801) 581-3899
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
6172064-1204
UT
Other
Enumeration date
05/19/2006
Last updated
11/08/2021
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