Alex H. Shacklette, MD Valid NPI
Individual provider · Molecular Genetic Pathology (Pathology) Physician · Salt Lake City, UT
- NPI
- 1700440252
- Type
- Individual (Type 1)
- Primary specialty
- Molecular Genetic Pathology (Pathology) Physician (Pathology)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 207ZP0007X
- License number
- 14188290-1205 (UT)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2019-04-30
- Last updated
- 2025-03-11
Practice location
Eccles Institute Of Human Genetics: 15 N Medical Dr Rm
Salt Lake City, UT 84112-4108
(801) 581-2121