IndividualActive
Samantha Fukutomi, MD, MPH
NPI 1700346145 · Reproductive Endocrinology Physician · Salt Lake City, UT
Provider details
- NPI number
- 1700346145
- Entity type
- Individual
- Primary specialty
- Reproductive Endocrinology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD, MPH
- Sex
- Female
- Sole proprietor
- No
- License
- 13312645-1205 (UT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
30 N 1900 E Rm 2b200
Salt Lake City, UT 84132-0002
Phone: (801) 581-2121
Approximate (ZIP-level) locationGet directions
Mailing address
30 N 1900 E Rm 2b200
Salt Lake City, UT 84132-0002
Additional practice locations (1)
- 110 Irving St Nw Dept ofWashington, DC 20010-3017Phone: (202) 877-8035Fax: (202) 877-5435
Registry dates
- Enumerated
- 2019-03-21
- Last updated
- 2026-01-26
- Certified
- 2026-01-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.