Diabetes Health Management PLLC
Family Medicine, Sleep Medicine in Sandy, UT. Organization (NPI-2).
NPI number1740582618
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1740582618
- Entity type
- Organization (NPI-2)
- Legal business name
- Diabetes Health Management PLLC
- Organization subpart
- No
- Enumeration date
- Nov 29, 2010
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207QS1201X | Family Medicine, Sleep Medicine | – | – | Yes |
Practice location
9425 S Union Sq # 103Sandy, UT 84070-3402
Phone 202-505-2007
Mailing address
1192 E Draper Pkwy # 404Draper, UT 84020-9356
Phone 202-505-2007
Authorized official
Rodolfo Martinez-Ferrate
Manager
2025052007
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