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Individual

JOHN J MULROY JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
100 MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1103
(801) 662-3578
(801) 662-3579
Mailing address
826 16TH AVE, SALT LAKE CITY, UT 84103-3707
(801) 582-7725

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
187321-1205
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
002085563
FIRST HEALTH
UT
05
002967200
ID
05
100692400
WY
01
107005235101
IHC
UT
01
2000040
UNITED HEALTHCARE
UT
01
2423
HEALTHY U
UT
01
37700
PEHP
UT
05
401765
MT
01
416943
DESERET MUTUAL
UT
05
706781
AZ
01
870280408MU1
EDUCATORS MUTUAL
UT
01
PRA01271
MOLINA
UT
01
QM0000049532
ALTIUS
UT
Enumeration date
08/25/2006
Last updated
10/04/2011
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