Most Relevant Information
Provider Data
NPI Number: | 1003221169 |
Provider Name: | EWA GNIADO |
Entity Type: | Individual |
Taxonomy Code: | 207R00000X |
Specialty: | Internal Medicine |
License Number: | 4301105300 |
Most Important Dates
Enumeration Date: | 06/27/2014 |
Last Updated: | 05/25/2023 |
Provider Practice Location
4403 HARRISON BLVD STE 3630
OGDEN
UT
844033287
Practice Location Phone/Fax
Phone: | 8013877900 |
Fax: | 8013877910 |
Provider Mailing Location
PO BOX 27128
SALT LAKE CITY
UT
841270128
Provider Mailing Phone/Fax
Phone: | |
Fax: |
Suggested EMR
Internist EMR