person
Nicolas De Andrade Mavromatis, MD
Student in an Organized Health Care Education/Training Program in Salt Lake City, Utah
NPI 1629838420

Nicolas De Andrade Mavromatis is a Student in an Organized Health Care Education/Training Program based in Salt Lake City, UT. Nicolas De Andrade Mavromatis practices in Salt Lake City, UT and has the professional credentials of MD. The NPI Number for Nicolas De Andrade Mavromatis is 1629838420 and holds a License No. (Utah).

The current practice location address for Nicolas De Andrade Mavromatis is 15 N Medical Dr Ste 1100, Salt Lake City, UT and can be reached out via phone at 801-581-4390.

Location: 15 N Medical Dr Ste 1100, Salt Lake City, UT, 84112-1100
person
Provider Profile Details
NPI Number
1629838420
Provider Name
Nicolas De Andrade Mavromatis
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
15 N Medical Dr Ste 1100, Salt Lake City, UT, 84112-1100
Phone Number
801-581-4390
Fax Number
Provider Enumeration Date
03/20/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
15 N Medical Dr Ste 1100
City
State
Zip
84112-1100
Phone Number
801-581-4390
Fax Number
person
Provider Business Mailing Address Details
Address
15 N Medical Dr Ste 1100
City
State
Zip
84112-1100
Phone Number
801-581-4390
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
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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