Fedoravicius, Andrew

Fedoravicius, Andrew is an sole proprietor health care provider with primary practice located at 6360 South 3000 East, Suite 310 Mountain West Gastroenterology, Salt Lake City UT 84121. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Fedoravicius, Andrew can be contacted via phone (801) 944-3144.

Contact Information

Primary practice address
6360 South 3000 East, Suite 310 Mountain West Gastroenterology Salt Lake City UT 84121
Phone: (801) 944-3144
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 6360128-1205 Utah
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 6360128-1205 Utah
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 7471341-1205 Utah

Profile Details

NPI number 1851585087
LBN Legal business name Fedoravicius, Andrew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 30th, 2007
Last updated Jun 9th, 2016 - about 8 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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