Mario Damon La Giglia, DO
Surgery in Blanding, UT. Individual provider (NPI-1).
NPI number1013145697
StatusActive
Last updated in NPPESApr 3, 2019
Details
- NPI
- 1013145697
- Entity type
- Individual (NPI-1)
- Name
- Mario Damon La Giglia
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 23, 2009
- Last updated
- Apr 3, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | 9743925-1204 | UT | Yes |
| 171000000X | Military Health Care Provider | – | – | |
| 208600000X | Surgery | 2015-02260 | NC |
Practice location
802 S 200 WBlanding, UT 84511-3910
Phone 435-678-3993 · Fax 435-678-3992
Mailing address
802 S 200 WBlanding, UT 84511-3910
Phone 435-678-3993
Other practice locations
2260 Rodeo Drive
Linden, NC 28356
Linden, NC 28356
Phone 915-540-2736
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.