IndividualActive
Cole Panushka, M.D.
NPI 1053392050 · Diagnostic Radiology Physician · Farmington, UT
Provider details
- NPI number
- 1053392050
- Entity type
- Individual
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 1825061205 (UT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1433 N 1075 W Ste 104
Farmington, UT 84025-2746
Phone: (801) 298-1300
Fax: (801) 296-6199
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 25488
Salt Lake City, UT 84125-0488
Additional practice locations (1)
- 380 N 200 WSuite 209Bountiful, UT 84010-7079Phone: (801) 298-1300Fax: (801) 296-6199
Registry dates
- Enumerated
- 2005-11-08
- Last updated
- 2019-02-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.