Provider Demographics
NPI:1568815082
Name:NEUFELD, ANASTASIA (MD, FRCSC)
Entity Type:Individual
Prefix:DR
First Name:ANASTASIA
Middle Name:
Last Name:NEUFELD
Suffix:
Gender:F
Credentials:MD, FRCSC
Other - Prefix:
Other - First Name:ANASTASIA
Other - Middle Name:
Other - Last Name:RADETSKI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:65 MARIO CAPECCHI DRIVE
Mailing Address - Street 2:UNIVERSITY OF UTAH, MORAN EYE CENTER
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84132
Mailing Address - Country:US
Mailing Address - Phone:801-585-6788
Mailing Address - Fax:801-581-5806
Practice Address - Street 1:65 MARIO CAPECCHI DRIVE
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84132
Practice Address - Country:US
Practice Address - Phone:801-585-6788
Practice Address - Fax:801-581-5806
Is Sole Proprietor?:No
Enumeration Date:2016-07-20
Last Update Date:2017-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT9720888-1205207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology