Provider Demographics
NPI:1366629073
Name:GNADINGER, PHILIP NICHOLAS (MD)
Entity Type:Individual
Prefix:DR
First Name:PHILIP
Middle Name:NICHOLAS
Last Name:GNADINGER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:UNIVERSITY OF UTAH DEPARTMENT OF ANESTHESIOLOGY
Mailing Address - Street 2:30 NORTH 1900 EAST, RM 3C444
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84132-0001
Mailing Address - Country:US
Mailing Address - Phone:801-205-4127
Mailing Address - Fax:
Practice Address - Street 1:UNIVERSITY OF UTAH DEPARTMENT OF ANESTHESIOLOGY
Practice Address - Street 2:30 NORTH 1900 EAST, RM 3C444
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84132-0001
Practice Address - Country:US
Practice Address - Phone:801-205-4127
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-24
Last Update Date:2021-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT6025547-1205207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology