Individual
DMITRI KAPITONOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O., PH.D.
Contact information
Practice address
1950 CIRCLE OF HOPE DR, PATHOLOGY, SALT LAKE CITY, UT 84112-5500
(801) 587-4281
Mailing address
1818 DELAWARE AVE, WHITE OAK, PA 15131-1662
(804) 787-0770
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/28/2016
Last updated
04/28/2016
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