Individual
MAKI C. GBORO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
81 N MARIO CAPECCHI DR STE 1A.011, SALT LAKE CITY, UT 84113-1125
(801) 662-5701
Mailing address
81 N MARIO CAPECCHI DR STE 1A.011, SALT LAKE CITY, UT 84113-1125
(801) 662-5701
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
14139600-1205
UT
Other
Enumeration date
04/07/2023
Last updated
09/13/2024
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