IndividualActive
Sean Ponce, M.D.
NPI 1376577049 · Addiction Medicine (Family Medicine) Physician · Salt Lake City, UT
Provider details
- NPI number
- 1376577049
- Entity type
- Individual
- Primary specialty
- Addiction Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 4976571-1205 (UT)
Practice location
3802 S 700 E
Salt Lake City, UT 84106-1182
Phone: (801) 264-6004
Fax: (801) 264-6098
Mailing address
3802 S 700 E
Salt Lake City, UT 84106-1182
Registry dates
- Enumerated
- 2006-07-10
- Last updated
- 2016-04-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.