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Sean Anthony Ponce, MD
Addiction Medicine (Family Medicine) Physician in Salt Lake City, Utah
NPI 1376577049

Sean Anthony Ponce is an Addiction Medicine (Family Medicine) Physician based in Salt Lake City, UT and is specialized in Addiction Medicine. Sean Anthony Ponce practices in Salt Lake City, UT and has the professional credentials of MD. The NPI Number for Sean Anthony Ponce is 1376577049 and holds a License No. 4976571-1205 (Utah).

The current practice location address for Sean Anthony Ponce is 3802 S 700 E, Salt Lake City, UT and can be reached out via phone at 801-264-6004 and via fax at 801-264-6098. You can also correspond with Sean Anthony Ponce through the mailing address at 3802 S 700 E, SALT LAKE CITY, UT - 84106-1182 (mailing address contact number: 801-264-6004).

Location: 3802 S 700 E, Salt Lake City, UT, 84106-1182
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Provider Profile Details
NPI Number
1376577049
Provider Name
Sean Anthony Ponce
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3802 S 700 E, Salt Lake City, UT, 84106-1182
Phone Number
801-264-6004
Fax Number
801-264-6098
Provider Enumeration Date
07/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1376577049 05 UT
institution
Provider Business Practice Location Address Details
Address
3802 S 700 E
City
State
Zip
84106-1182
Phone Number
801-264-6004
Fax Number
801-264-6098
person
Provider Business Mailing Address Details
Address
3802 S 700 E
City
State
Zip
84106-1182
Phone Number
801-264-6004
Fax Number
801-264-6098
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Addiction Medicine
Taxonomy
License No.
4976571-1205 (Utah)
Definition
A family medicine physician who specializes in the diagnosis and treatment of addictions.
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