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NPI Code Detail

MEDICARE: SERGIO STEPHEN FERRANTE MD

MEDICARE: SERGIO STEPHEN FERRANTE MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0202XDiagnostic Radiology Physician13872446-1205UT
22085N0700XNeuroradiology Physician13872446-1205UT

General Provider Information

NPI Number : 1740741610
Entity Type Code : Individual
Provider Name (Legal Business Name) : SERGIO STEPHEN FERRANTE MD
Provider Business Mailing Address
First Line : 5334 S WOODROW ST STE 100
Second Line :
City : MURRAY
State : UT
Zip : 84107-5838
Country : US
Telephone Number : 801-713-0600
Fax Number : 801-713-0601
Provider Business Practice Location Address
First Line : 5334 S WOODROW ST STE 100
Second Line :
City : MURRAY
State : UT
Zip : 84107-5838
Country : US
Telephone Number : 801-713-0600
Fax Number : 801-713-0601
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/25/2019
Last Update Date : 04/27/2026

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Directions to “ SERGIO STEPHEN FERRANTE MD” Practice Location

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