SHAD OUTSEN

PROVO, UT
NPI1487815536
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2080P0203X Pediatrics, Pediatric Critical Care Medicine
(Licence: UT  7365706-1205)
Enumeration Date2008-06-21
Last Update Date2022-04-25
Business Address
Dr. SHAD OUTSEN M.D.
1034 N 500 W
PROVO, UT 84604-3380
Phone number: 801-357-7481
Mailing Address
Dr. SHAD OUTSEN M.D.
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number:
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