Most Relevant Information
Provider Data
| NPI Number: | 1003326422 |
| Provider Name: | ZOIE LEEANN BLEAK |
| Entity Type: | Individual |
| Taxonomy Code: | 225500000X |
| Specialty: | Specialist/Technologist |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/11/2017 |
| Last Updated: | 10/11/2017 |
Provider Practice Location
4444 S 700 E
SALT LAKE CITY
UT
841073075
Practice Location Phone/Fax
| Phone: | 8012684887 |
| Fax: |
Provider Mailing Location
4444 S 700 E
SALT LAKE CITY
UT
841073075
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |