Individual provider · NPI-1
Rebecca Abbey, MD
Family Medicine · Salt Lake City, UT
NPI number1043604341
StatusActive
Last updated in NPPESOct 15, 2021
Details
- NPI
- 1043604341
- Entity type
- Individual (NPI-1)
- Name
- Rebecca Abbey
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 24, 2015
- Certification date
- Oct 15, 2021
- Last updated
- Oct 15, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 10077725-1205 | UT | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
375 S Chipeta WaySalt Lake City, UT 84108
Phone 801-587-3411
Mailing address
1753 E Downington AveSalt Lake City, UT 84108-2909
Phone 206-300-0003
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