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Contact Information

SHAHRZAD R WOODBRIDGE, DO
30 N 1900 E
SOM 1C026
SALT LAKE CITY, UT84132
 Phone: 801-581-2272
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for SHAHRZAD R WOODBRIDGE · (Female)

NPI # 1467934455
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 09/05/2018
Last updated 06/14/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • ID License # O-1794
  • OR License # DO214548
  • UT License # 12404265-1204
  • WA Medicaid 201844875WA
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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