Barraza, Gonzalo

Barraza, Gonzalo is an individual health care provider with primary practice located at 50 N Medical Dr , Salt Lake City UT 84132-0100. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Barraza, Gonzalo can be contacted via phone (801) 581-2507.

Contact Information

Primary practice address
50 N Medical Dr Salt Lake City UT 84132-0100
Phone: (801) 581-2507
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 8137232-1205 Utah

Profile Details

NPI number 1699091892
LBN Legal business name Barraza, Gonzalo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2010
Last updated Dec 5th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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