Individual
DR. MARA LEE RABIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
24 S 1100 E STE 310, SALT LAKE CITY, UT 84102-1500
(801) 328-1260
(801) 350-4361
Mailing address
24 S 1100 E STE 310, SALT LAKE CITY, UT 84102-1500
(801) 328-1260
(801) 350-4361
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
27746451205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PRA04123
—
UT
Enumeration date
03/13/2007
Last updated
01/15/2021
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