IndividualActive
Ally Fraser, MD
NPI 1740040443 · Pediatrics Physician · Salt Lake City, UT
Provider details
- NPI number
- 1740040443
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 14239835-1205 (UT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
295 S Chipeta Way
Salt Lake City, UT 84108-1287
Phone: (801) 662-5700
Approximate (ZIP-level) locationGet directions
Mailing address
295 S Chipeta Way Rm 2s010
Salt Lake City, UT 84108-1287
Registry dates
- Enumerated
- 2024-03-20
- Last updated
- 2025-09-15
- Certified
- 2025-09-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.