IndividualActive
Paola Blanco, MD, BSN
NPI 1205464120 · Pediatric Gastroenterology Physician · Salt Lake City, UT
Provider details
- NPI number
- 1205464120
- Entity type
- Individual
- Primary specialty
- Pediatric Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD, BSN
- Sex
- Female
- Sole proprietor
- No
- License
- 13293937-1205 (UT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
81 N Mario Capecchi Dr
Salt Lake City, UT 84113-1125
Phone: (801) 581-2121
Approximate (ZIP-level) locationGet directions
Mailing address
81 N Mario Capecchi Dr
Salt Lake City, UT 84113-1125
Additional practice locations (1)
- 17 Davis Blvd Ste 308Tampa, FL 33606-3438Phone: (813) 974-2201
Registry dates
- Enumerated
- 2020-03-27
- Last updated
- 2023-03-14
- Certified
- 2023-03-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.