DR. Tasha Nicole Ellchuk, BSC, MD, FRCPC

NPI #1538313929 in Slc, Utah

Provider Information

NPI Number: 1538313929
Entity Type: Individual
Name: DR. Tasha Nicole Ellchuk, BSC, MD, FRCPC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: BSC, MD, FRCPC
Enumeration Date: Nov 11, 2008
Last Updated: Nov 11, 2008

Practice Location

Address: DEPARTMENT OF RADIOLOGY 30 NORTH 1900 E
City: Slc
State: Utah
ZIP Code: 84132-0001
Phone: (801) 581-4626

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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