Individual
ELLEN L. WIITALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
30 N 1900 E # 1C026, SALT LAKE CITY, UT 84132-0001
(801) 581-2417
Mailing address
30 N 1900 E # 1C026, SALT LAKE CITY, UT 84132-0001
(801) 581-2417
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
12952656-1205
UT
Other
Enumeration date
04/06/2021
Last updated
07/25/2022
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