Dr. Joel Anthony Manzi
Family Medicine in Salt Lake City, UT. Individual provider (NPI-1).
NPI number1154909166
StatusActive
Last updated in NPPESMar 10, 2025
Details
- NPI
- 1154909166
- Entity type
- Individual (NPI-1)
- Name
- Dr. Joel Anthony Manzi
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 31, 2021
- Certification date
- Mar 10, 2025
- Last updated
- Mar 10, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 13886768-1204 | UT | Yes |
Practice location
1365 W 1000 NSalt Lake City, UT 84116-1654
Phone 801-328-5750 · Fax 877-497-4661
Mailing address
1455 W 2200 S Ste 300West Valley City, UT 84119-7219
Phone 801-412-6920 · Fax 877-497-4661
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