IndividualActive
Candelaria Deimundo Roura, MD
NPI 1962907725 · Pediatric Hematology & Oncology Physician · Salt Lake City, UT
Provider details
- NPI number
- 1962907725
- Entity type
- Individual
- Primary specialty
- Pediatric Hematology & Oncology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 12213204-1205 (UT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
100 N Mario Capecchi Dr
Salt Lake City, UT 84113-1103
Phone: (801) 662-5712
Approximate (ZIP-level) locationGet directions
Mailing address
100 N Mario Capecchi Dr
Salt Lake City, UT 84113-1103
Registry dates
- Enumerated
- 2018-03-26
- Last updated
- 2024-12-08
- Certified
- 2024-12-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.