GREGORY JEBIAN BASTOURI

SALT LAKE CITY, UT
NPI1851978175
Former NameGREGORY JEBIAN
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: UT  12985853-1205)
Enumeration Date2021-03-24
Last Update Date2022-08-22
Business Address
GREGORY JEBIAN BASTOURI MD
501 S CHIPETA WAY
SALT LAKE CITY, UT 84108-1222
Phone number: 801-585-0895
Mailing Address
GREGORY JEBIAN BASTOURI MD
501 S CHIPETA WAY
SALT LAKE CITY, UT 84108-1222
Phone number: 801-585-0895
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