NPI 1043770472 · live from the CMS NPI Registry
Luis B. Fandino, MD
Orthopaedic Surgery in Salt Lake City, UT. National Provider Identifier 1043770472, active.
NPI record
| NPI | 1043770472 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Orthopaedic Surgery 207X00000X |
| Practice location | 590 S Wakara Way, Salt Lake City, UT 84108 |
| Practice phone | 801-587-5448 |
| Enumerated | March 21, 2019 |
| Last updated | August 27, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthopaedic Surgery primary | 207X00000X | 11912760-1205 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.