Individual
MOLLY A O'GORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 N MEDICAL DR, SLC, UT 84113-1103
(801) 588-2000
Mailing address
127 S 500 E, SALT LAKE CITY, UT 84102-1959
(801) 587-6336
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
270784-1205
UT
2080P0206X
Pediatric Gastroenterology Physician
Primary
270784-1205
UT
Other
Enumeration date
08/30/2006
Last updated
12/27/2021
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