NPI Index

ALEX SHACKLETTE, MD

Pathology - Molecular Genetic Pathology

Active Individual
NPI: 1700440252

Practice Address

ECCLES INSTITUTE OF HUMAN GENETICS: 15 N MEDICAL DR RM
Salt Lake City, UT 84112

Phone: (801) 581-2121

Specialties

Specialty Code Primary License
Student in an Organized Health Care Education/Training Program 390200000X No -
Pathology - Molecular Genetic Pathology 207ZP0007X Yes 14188290-1205 (UT)

Frequently Asked Questions

NPI 1700440252 is the National Provider Identifier for ALEX SHACKLETTE, MD, a Pathology - Molecular Genetic Pathology provider located in Salt Lake City, UT. This NPI was enumerated on April 30, 2019.
ALEX SHACKLETTE, MD practices at ECCLES INSTITUTE OF HUMAN GENETICS: 15 N MEDICAL DR RM, Salt Lake City, UT 84112.

Quick Facts

NPI
1700440252
Type
Individual
Enumerated
Apr 30, 2019
Last Updated
Mar 11, 2025

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