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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ALEX H. SHACKLETTE, MD

Active

Molecular Genetic Pathology · SALT LAKE CITY, UT

Registration Details

NPI Number
1700440252
Provider Type
Individual
Gender
Male
NPI Issued
Apr 30, 2019 (6.9781983995847 yrs)
Last Updated
Mar 11, 2025
License
14188290-1205 (UT)

Practice Information

Address
ECCLES INSTITUTE OF HUMAN GENETICS: 15 N MEDICAL DR RM
SALT LAKE CITY, UT, 841124108
Browse UT providers · Browse ZIP 84112
Phone
8015812121
Primary Specialty
Molecular Genetic Pathology
207ZP0007X
Additional Specialty
Molecular Genetic Pathology

Other Molecular Genetic Pathology Providers in SALT LAKE CITY, UT

Name Credential NPI
DR. PARISA ADELHARDT MD 1659689354
BENJAMIN KUKULL MD 1588050157
DR. KARL VIRGIL VOELKERDING MD 1124506142
JOHN FRANCIS BRENNAN MD 1891378345
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.