IndividualActive
Dallas Shi, MD, PHD, MBA
NPI 1407353089 · Occupational Medicine Physician · Salt Lake City, UT
Provider details
- NPI number
- 1407353089
- Entity type
- Individual
- Primary specialty
- Occupational Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD, PHD, MBA
- Sex
- Female
- Sole proprietor
- No
- License
- 11405462-1205 (UT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
391 S Chipeta Way Ste C
Salt Lake City, UT 84108-1294
Phone: (801) 581-4800
Approximate (ZIP-level) locationGet directions
Mailing address
391 S Chipeta Way Ste C
Salt Lake City, UT 84108-1294
Registry dates
- Enumerated
- 2018-04-10
- Last updated
- 2019-09-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.