Most Relevant Information
Provider Data
| NPI Number: | 1003366766 |
| Provider Name: | ANASTASIYA MANKOUSKI MD |
| Entity Type: | Individual |
| Taxonomy Code: | 2080N0001X |
| Specialty: | Pediatrics |
| License Number: | 10102332-1205 |
Most Important Dates
| Enumeration Date: | 10/06/2016 |
| Last Updated: | 11/20/2021 |
Provider Practice Location
5121 S COTTONWOOD ST
SALT LAKE CITY
UT
841075701
Practice Location Phone/Fax
| Phone: | 8015077000 |
| Fax: |
Provider Mailing Location
PO BOX 27128
SALT LAKE CITY
UT
841270128
Provider Mailing Phone/Fax
| Phone: | 2015275501 |
| Fax: |