ANDREA KIRSTIN BACANI

OGDEN, UT
NPI1730163239
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207RR0500X Internal Medicine, Rheumatology
(Licence: UT  8027519-1205)
Additional Taxonomies207R00000X Internal Medicine
(Licence: AZ  34524)
207RR0500X Internal Medicine, Rheumatology
(Licence: MN  103872)
207RR0500X Internal Medicine, Rheumatology
(Licence: MN  51043)
Enumeration Date2005-11-30
Last Update Date2011-08-31
Business Address
Dr. ANDREA KIRSTIN BACANI M.D.
4403 HARRISON BLVD STE 3650
OGDEN, UT 84403-3271
Phone number: 801-387-7125
Mailing Address
Dr. ANDREA KIRSTIN BACANI M.D.
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number: 801-387-7125