Individual
DR. ELIZABETH DOBY KNACKSTEDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
100 MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1103
(801) 581-6791
(801) 585-3789
Mailing address
PO BOX 581289, SALT LAKE CITY, UT 84158-1289
(801) 581-6791
(801) 585-3789
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
6851468-1205
UT
2080P0208X
Pediatric Infectious Diseases Physician
Primary
6851468-1205
UT
Other
Enumeration date
03/25/2008
Last updated
11/03/2021
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