Healthcare Provider Details

I. General information

NPI: 1104211747
Provider Name (Legal Business Name): ALISON FRIZELL WARD M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/31/2015
Last Update Date: 03/20/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

UNIVERSITY OF UTAH HOSPITAL 50 N MEDICAL DR
SALT LAKE CITY UT
84132-0001
US

IV. Provider business mailing address

UNIVERSITY OF UTAH EM DEPT 30 N 1900 E 1C026
SALT LAKE CITY UT
84132-0001
US

V. Phone/Fax

Practice location:
  • Phone: 801-581-2730
  • Fax:
Mailing address:
  • Phone: 801-581-2730
  • Fax: 801-585-0603

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number10093795-1205
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: