NPI 1104213586

Theodore Schultheiss, MD

Practitioner Anatomic Pathology & Clinical Pathology Physician Salt Lake City, UT

Practice location

Address: 15 Medical Dr STE 1100, Salt Lake City, UT 84112-1100
Phone: (801) 581-4390

Registered specialties (2)

Anatomic Pathology & Clinical Pathology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207ZP0102X Licence 11053756-1205 (UT)

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1104213586
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Apr 2015
Record last updated: 12 Jun 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.