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NPI Profile for Dr ROGER D GISSEMAN in SALT LAKE CITY, UT.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X |
| NPI Number | 1619267549 |
|
| Status | Active | |
| Credentials | PhD | |
| Entity | Individual | |
| Enumeration date | 04/12/2011 | |
| Last updated | 04/12/2011 - About 15 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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ROGER D GISSEMAN
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ROGER D GISSEMAN, PhD