Individual
ZARA AGADJANIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
(801) 585-0657
Mailing address
155 S 300 W, SALT LAKE CITY, UT 84101-1217
(801) 467-6060
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00000
—
UT
Enumeration date
04/19/2019
Last updated
04/19/2019
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