JOHANNA CAROLINA PURDY

SALT LAKE CITY, UT
NPI1598225237
Former NameJOHANNA CAROLINA ESTRADA LANG
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208M00000X Hospitalist
(Licence: UT  12840412-1205)
Additional Taxonomies207R00000X Internal Medicine
(Licence: UT  12840412-1205)
390200000X Student in an Organized Health Care Education/Training Program
390200000X Student in an Organized Health Care Education/Training Program
(Licence: OR  PG205552)
Enumeration Date2019-03-20
Last Update Date2022-08-28
Business Address
JOHANNA CAROLINA PURDY MD
50 N MEDICAL DR
SALT LAKE CITY, UT 84132-3011
Phone number: 801-581-2121
Mailing Address
JOHANNA CAROLINA PURDY MD
30 N 1900 E # 5R218
SALT LAKE CITY, UT 84132-0002
Phone number: