Provider Demographics
NPI:1346327236
Name:UNGRICHT, ALBERT L (MD)
Entity Type:Individual
Prefix:
First Name:ALBERT
Middle Name:L
Last Name:UNGRICHT
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:5770 S 250 E
Mailing Address - Street 2:SUITE 410
Mailing Address - City:MURRAY
Mailing Address - State:UT
Mailing Address - Zip Code:84107-8100
Mailing Address - Country:US
Mailing Address - Phone:801-352-9500
Mailing Address - Fax:801-352-9502
Practice Address - Street 1:5770 S 250 E
Practice Address - Street 2:SUITE 410
Practice Address - City:MURRAY
Practice Address - State:UT
Practice Address - Zip Code:84107-8100
Practice Address - Country:US
Practice Address - Phone:801-314-4420
Practice Address - Fax:801-314-4421
Is Sole Proprietor?:No
Enumeration Date:2006-10-31
Last Update Date:2010-03-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
UT178259-1205207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT1346327236Medicaid
UT1346327236Medicaid
A58900Medicare UPIN