Provider Demographics
NPI:1831301241
Name:FACTOR, RACHEL E (MD)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:E
Last Name:FACTOR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:762 HILLTOP RD
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84103-3310
Mailing Address - Country:US
Mailing Address - Phone:917-648-5242
Mailing Address - Fax:
Practice Address - Street 1:1950 CIRCLE OF HOPE DR
Practice Address - Street 2:DEPT SURGICAL PATHOLOGY, HUNTSMAN CANCER HOSPITAL, 6755
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84112-5500
Practice Address - Country:US
Practice Address - Phone:801-587-4763
Practice Address - Fax:801-581-7035
Is Sole Proprietor?:No
Enumeration Date:2007-05-06
Last Update Date:2011-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY239704207ZP0101X
MA236247207ZP0101X, 207ZC0500X
UT74748791205207ZP0101X, 207ZC0500X
NY239704-1207ZC0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0101XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology
No207ZC0500XAllopathic & Osteopathic PhysiciansPathologyCytopathology