IndividualActive
Cecilia Im, MD
NPI 1255919726 · Surgery Physician · Salt Lake City, UT
Provider details
- NPI number
- 1255919726
- Entity type
- Individual
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 12985851-1205 (UT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
30 N 1900 E Rm 3b324
Salt Lake City, UT 84132-0002
Phone: (801) 581-6803
Approximate (ZIP-level) locationGet directions
Mailing address
30 N 1900 E Rm 3b324
Salt Lake City, UT 84132-0002
Registry dates
- Enumerated
- 2021-03-29
- Last updated
- 2022-08-16
- Certified
- 2022-08-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.