Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Individual
MARY D TIPTON
Active
Individual
MARY D TIPTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
5934303-1205
UT
208000000X
Pediatrics Physician
Primary
5934303-1205
UT
Other
Enumeration date
04/27/2006
Last updated
05/31/2026
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