Individual
AUDREY ELIZABETH DE PAEPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, PHD
Contact information
Practice address
175 N MEDICAL DR # 5, SALT LAKE CITY, UT 84112-1103
(801) 581-6908
Mailing address
175 N MEDICAL DR # 5, SALT LAKE CITY, UT 84112-1103
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/24/2026
Last updated
03/24/2026
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