IndividualActive
Anne Blaschke-Bonkowsky, MD
NPI 1760435325 · Pediatric Infectious Diseases Physician · Salt Lake City, UT
Provider details
- NPI number
- 1760435325
- Entity type
- Individual
- Primary specialty
- Pediatric Infectious Diseases PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 4979066-1205 (UT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
100 N Medical Dr
Salt Lake City, UT 84113-1103
Phone: (801) 581-6791
Fax: (801) 585-6817
Approximate (ZIP-level) locationGet directions
Mailing address
295 Chipeta Way
Salt Lake City, UT 84108-1220
Registry dates
- Enumerated
- 2006-05-17
- Last updated
- 2021-10-28
- Certified
- 2021-10-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.