person
Dana Boucek
Student in an Organized Health Care Education/Training Program in Salt Lake City, Utah
NPI 1154612117

Dana Boucek is a Student in an Organized Health Care Education/Training Program based in Philadelphia, UT. Dana Boucek practices in Salt Lake City, UT. The NPI Number for Dana Boucek is 1154612117 and holds a License No. MD460722 (Utah).

The current practice location address for Dana Boucek is 100 North Mario Capecchi Dr., Salt Lake City, UT and can be reached out via phone at 801-662-5700.

Location: 100 North Mario Capecchi Dr., Salt Lake City, UT, 19104-5914
person
Provider Profile Details
NPI Number
1154612117
Provider Name
Dana Boucek
Credential
Provider Entity Type
Individual
Gender
Female
Address
100 North Mario Capecchi Dr., Salt Lake City, UT, 19104-5914
Phone Number
801-662-5700
Fax Number
Provider Enumeration Date
04/26/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
100 North Mario Capecchi Dr.
City
State
Zip
84113
Phone Number
801-662-5700
Fax Number
person
Provider Business Mailing Address Details
Address
100 North Mario Capecchi Dr.
City
State
Zip
84113
Phone Number
801-662-5700
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Pediatric Cardiology
Taxonomy
License No.
()
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
MD460722 (Pennsylvania)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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