IndividualActive
Amanda Walker, MD
NPI 1093417800 · Dermatology Physician · Salt Lake City, UT
Provider details
- NPI number
- 1093417800
- Entity type
- Individual
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 14168052-1205 (UT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
Helix: 30 N Mario Capecchi Rm 1s100
Salt Lake City, UT 84112
Phone: (801) 581-2121
Approximate (ZIP-level) locationGet directions
Mailing address
Helix: 30 N Mario Capecchi Rm 1s100
Salt Lake City, UT 84112
Additional practice locations (1)
- 500 W Fort St # 111rBoise, ID 83702-4501Phone: (208) 422-1314Fax: (208) 422-1388
Registry dates
- Enumerated
- 2023-03-17
- Last updated
- 2024-10-08
- Certified
- 2024-10-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.