SearchUtah101YM0800X

Andria Koller

NPI 1245986991 · on the registry since 2022

Practice

Address
2655 S Lake Erie Dr
Salt Lake City, UT 84120
Phone
(919) 282-2967
Clinicians at this address
3

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
UT
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-02-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah