Individual
NICOLE M GIRARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
1083 E 1ST AVE, SALT LAKE CITY, UT 84103-4101
(801) 824-8826
Mailing address
1083 E 1ST AVE, SALT LAKE CITY, UT 84103-4101
(801) 824-8826
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
3769361205
UT
Other
Enumeration date
09/27/2005
Last updated
07/06/2021
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