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Individual

DR. CATHERINE M. MCDONALD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD, RD

Contact information

Practice address
100 MARIO CAPECCHI DR, DIETITIANS' OFFICE, 2ND FLOOR, SALT LAKE CITY, UT 84113-1103
(801) 662-5314
Mailing address
100 MARIO CAPECCHI DR, DIETITIANS' OFFICE, 2ND FLOOR, SALT LAKE CITY, UT 84113-1103
(801) 662-5314

Taxonomy

Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
107035-4901
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
107035-4901
DOPL CERTIFICATION
UT
Enumeration date
08/30/2012
Last updated
08/30/2012
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