| Ina Amber Md Llc | |
|
1151 E 3900 So Suite B275 Salt Lake City UT 84124 | |
| (801) 268-6830 | |
| (801) 262-3584 |
| Full Name | Ina Amber Md Llc |
|---|---|
| Speciality | Internal Medicine - Infectious Disease |
| Location | 1151 E 3900 So, Salt Lake City, Utah |
| Authorized Official Name and Position | Ina J Amber (MD PRIVATE PRACTICE) |
| Authorized Official Contact | 8012686830 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ina Amber Md Llc 1151 E 3900 So Suite B275 Salt Lake City UT 84124 Ph: (801) 268-6830 | Ina Amber Md Llc 1151 E 3900 So Suite B275 Salt Lake City UT 84124 Ph: (801) 268-6830 |
| NPI Number | 1437333895 |
|---|---|
| Provider Enumeration Date | 12/20/2007 |
| Last Update Date | 09/24/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437333895 | NPI | - | NPPES |
| 1760549927 | Other | UT | INIVIDUAL NPI |
| 366482338051 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | 1717901205 (Utah) | Primary |
| 282N00000X | General Acute Care Hospital | 1717901205 (Utah) | Secondary |
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