TALA'AT AL-SHUQAIRAT

SALEM, UT
NPI1104875574
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RP1001X Internal Medicine Pulmonary Disease
(Licence: UT  60083151205)
Additional Taxonomies207RC0200X Internal Medicine Critical Care Medicine
(Licence: UT  60083151205)
207RS0012X Internal Medicine Sleep Medicine
(Licence: UT  60083151205)
Enumeration Date2006-05-10
Last Update Date2023-11-27
Business Address
TALA'AT AL-SHUQAIRAT MD
555 W SR 164
SALEM, UT 84653-1666
Phone number: 801-465-4813
Mailing Address
TALA'AT AL-SHUQAIRAT MD
1055 N 500 W ATTN: CREDENTIALING
PROVO, UT 84604-3305
Phone number: 801-354-8225