Individual
CARRIE NAOMI DIEHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
175 N MEDICAL DR E, SALT LAKE CITY, UT 84132-0001
(720) 763-0499
Mailing address
175 N MEDICAL DR E, SALT LAKE CITY, UT 84132-0001
(720) 763-0499
Taxonomy
Speciality
Code
Description
License number
State
207LP3000X
Pediatric Anesthesiology Physician
Primary
53219
CO
Other
Enumeration date
02/05/2009
Last updated
04/03/2015
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