Mooers, Mary Gretchen

Mooers, Mary Gretchen is an individual health care provider with primary practice located at 324 Tenth Ave Suite # 160, Salt Lake City UT 84103-2853. She recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as her primary health care specialty. Mooers, Mary Gretchen can be contacted via phone (801) 408-5151.

Contact Information

Primary practice address
324 Tenth Ave Suite # 160 Salt Lake City UT 84103-2853
Phone: (801) 408-5151
Fax: (801) 408-3598
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 173770-1205 Utah

Profile Details

NPI number 1609823889
LBN Legal business name Mooers, Mary Gretchen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2006
Last updated Jul 9th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609823889 NPPES
Utah Other 9200054 UHC
Utah Other 00558 UHC
Utah Other 2748 UHC
Utah Other 71116 UHC
Utah Other 357645 UHC
Utah Other 274 UHC
Utah MEDICAID 2099000 UHC
Utah Other 224999 UHC
Utah Other 870623071M01 UHC

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