Individual
DR. CONSTANCE K MAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 N MEDICAL DR, SALT LAKE CITY, UT 84113-1103
(801) 662-1900
(801) 662-1810
Mailing address
869 E 4500 S, PMB 511, SALT LAKE CITY, UT 84107-3049
(801) 487-0451
(801) 487-2467
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
Primary
5010881-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1070011544101
SELECTHEALTH
UT
01
—
1600468
UNITED HEALTHCARE
UT
01
—
31853
UUHN
UT
01
—
35834
DESERET MUTUAL
UT
01
—
50108811200001
BLUE SHIELD
UT
01
—
67154
PUBLIC EMPLOYEES HEALTH
UT
01
—
8550895
AETNA
UT
01
—
870355724MAV
EDUCATORS MUTUAL
UT
01
—
QM0000027099
ALTIUS
UT
Enumeration date
09/26/2006
Last updated
06/17/2008
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