Individual
MARGARET PATRICIA PETZOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
555 FOOTHILL DR, SALT LAKE CITY, UT 84112-1106
(801) 585-5382
Mailing address
PO BOX 510004, SALT LAKE CITY, UT 84151-0004
(801) 587-6600
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4803536-1205
UT
Other
Enumeration date
10/13/2006
Last updated
11/11/2021
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