Cordoba, Nicolas M.

Cordoba, Nicolas M. is an individual health care provider with primary practice located at 81 N Mario Capecchi Dr , Salt Lake City UT 84113-1125. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Cordoba, Nicolas M. can be contacted via phone (801) 662-5701.

Contact Information

Primary practice address
81 N Mario Capecchi Dr Salt Lake City UT 84113-1125
Phone: (801) 662-5701
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 11883770-1205 Utah
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036144791 Illinois

Profile Details

NPI number 1700132628
LBN Legal business name Cordoba, Nicolas M.
Credentials MD, MBA
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2012
Last updated Apr 20th, 2022 - about 3 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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