Individual
DR. GINA M MUSCOLINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
620 MEDICAL DR, SUITE 340, BOUNTIFUL, UT 84010-5084
(801) 299-2229
(801) 299-2230
Mailing address
PO BOX 409836, ATLANTA, GA 30384-9836
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
036093446
IL
207V00000X
Obstetrics & Gynecology Physician
Primary
7229132-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036093446
—
IL
05
—
1194825117
—
UT
Enumeration date
09/22/2006
Last updated
01/31/2022
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