JACOB MOMBERGER

SALT LAKE CITY, UT
NPI1356057863
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: UT  390200000X)
Enumeration Date2023-01-27
Last Update Date2023-01-27
Business Address
JACOB MOMBERGER
27 S MARIO CAPECCHI DR
SALT LAKE CITY, UT 84112-5888
Phone number: 801-581-7498
Mailing Address
JACOB MOMBERGER
3704 S 2140 E
SALT LAKE CITY, UT 84109-3328
Phone number: 801-870-1327