Individual
ANNA R. IBELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
30 N 1900 E, UNIVERSITY OF UTAH HEALTH CARE-SURGERY, SALT LAKE CITY, UT 84132-0001
(801) 587-3856
(801) 587-9370
Mailing address
DEPARTMENT OF SURGERY, 30 NORTH 1900 EAST, SALT LAKE CITY, UT 84132-0001
(801) 587-3856
(801) 587-9370
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
9068926-1205
UT
208600000X
Surgery Physician
9068926-8905
UT
208600000X
Surgery Physician
965-TEP
WI
390200000X
Student in an Organized Health Care Education/Training Program
50432
WI
Other
Enumeration date
04/19/2006
Last updated
10/20/2021
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