MEDICARE: JULIO CESAR DELGADO 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
1	207ZC0006X	Clinical Pathology Physician	6234516-1205	UT
2	207SM0001X	Molecular Genetic Pathology (Medical Genetics) Physician	6234516-1205	UT

General Provider Information

NPI Number	:	1689621948
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIO CESAR DELGADO MD

Provider Business Mailing Address
First Line	:	500 S CHIPETA WAY
Second Line	:	ARUP LABORATORIES
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84108-1221
Country	:	US
Telephone Number	:	801-583-2787
Fax Number	:

Provider Business Practice Location Address
First Line	:	500 CHIPETA WAY
Second Line	:	ARUP LABORATORIES
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84108-1221
Country	:	US
Telephone Number	:	801-583-2787
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/30/2006
Last Update Date	:	12/03/2021

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