IndividualActive
Diego Ize-Ludlow, MD
NPI 1063455699 · Pediatric Endocrinology Physician · Salt Lake City, UT
Provider details
- NPI number
- 1063455699
- Entity type
- Individual
- Primary specialty
- Pediatric Endocrinology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 9855274-1205 (UT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
81 S Mario Capecchi Dr
Salt Lake City, UT 84112-5888
Phone: (801) 662-1640
Approximate (ZIP-level) locationGet directions
Mailing address
9143 N Jeremy Rd
Park City, UT 84098-4892
Registry dates
- Enumerated
- 2006-06-13
- Last updated
- 2024-11-06
- Certified
- 2024-11-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.