Individual
MARIANELA ROSALES GERPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1300 E CENTER ST, PROVO, UT 84606-3554
(801) 344-4400
(801) 344-4215
Mailing address
PO BOX 270, PROVO, UT 84603-0270
(801) 344-4400
(801) 344-4215
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
14214634-1205
UT
Other
Enumeration date
06/24/2020
Last updated
07/18/2025
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