IndividualActive
Alexander Fishburn, DO
NPI 1487455564 · Student in an Organized Health Care Education/Training Program · Salt Lake City, UT
Provider details
- NPI number
- 1487455564
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Credential
- DO
- Sex
- Male
- Sole proprietor
- Yes
- License
- NONE (UT)
Specialties & taxonomies
Student, Health Care
Practice location
1250 E 3900 S Ste 260
Salt Lake City, UT 84124-1371
Phone: (801) 265-2000
Approximate (ZIP-level) locationGet directions
Mailing address
1250 E 3900 S Ste 260
Salt Lake City, UT 84124-1371
Registry dates
- Enumerated
- 2025-03-24
- Last updated
- 2025-06-16
- Certified
- 2025-06-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.