Individual
MRS. DOERTHE ADRIANA ANDREAE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
165 N UNIVERSITY AVE, FARMINGTON, UT 84025-2990
(801) 213-3200
Mailing address
PO BOX 841052, LOS ANGELES, CA 90084-1052
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
12363842-1205
UT
2080P0201X
Pediatric Allergy/Immunology Physician
MD460749
PA
Other
Enumeration date
10/06/2011
Last updated
04/12/2022
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