person
Ilyssa Golding, MD
Diagnostic Radiology Physician in Salt Lake City, Utah
NPI 1063448371

Ilyssa Golding is a Diagnostic Radiology Physician based in Bountiful, UT and is specialized in Diagnostic Radiology. Ilyssa Golding practices in Salt Lake City, UT and has the professional credentials of MD. The NPI Number for Ilyssa Golding is 1063448371 and holds a License No. G78242 (Utah).

The current practice location address for Ilyssa Golding is 1200 E 3900 S, Salt Lake City, UT and can be reached out via phone at 801-268-7111 and via fax at 801-296-6199.

Location: 1200 E 3900 S, Salt Lake City, UT, 84010-7079
person
Provider Profile Details
NPI Number
1063448371
Provider Name
Ilyssa Golding
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1200 E 3900 S, Salt Lake City, UT, 84010-7079
Phone Number
801-268-7111
Fax Number
801-296-6199
Provider Enumeration Date
06/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1063448371 01 UT UNIVERSITY OF UTAH HEALTH PLANS
939166 01 UT WINDSOR HEALTH PLAN MEDICAREEXTRA/STERLING HEALTH PLAN
1063448371 01 UT EMI HEALTH
1063448371 01 UT TRICARE
567412 01 UT DESERET MUTUAL BENEFIT ADMINISTRATORS
00G782420 01 CA BLUE SHIELD
00G782420 05 CA
10000007105001 01 UT REGENCE BCBSU
1063448371 05 UT
1063448371 01 UT MOLINA HEALTHCARE
138686 01 UT PEHP
P01075932 01 UT RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
1200 E 3900 S
City
State
Zip
84124-1300
Phone Number
801-268-7111
Fax Number
801-296-6199
person
Provider Business Mailing Address Details
Address
1200 E 3900 S
City
State
Zip
84124-1300
Phone Number
801-268-7111
Fax Number
801-296-6199
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
G78242 (California)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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