Individual
DR. CHARLES DARRELL KATZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9450 S 1300 E, SANDY, UT 84094-5555
(801) 501-6200
(801) 501-6210
Mailing address
9450 S 1300 E, SANDY, UT 84094-5555
(801) 501-6200
(801) 501-6210
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
H0511
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
039086601
—
TX
Enumeration date
08/23/2005
Last updated
01/21/2016
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