Individual
SEAN JORDAN MULVIHILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0100
(801) 585-1618
Mailing address
PO BOX 413035, SALT LAKE CITY, UT 84141-3035
(801) 581-2121
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4855174-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020047727
RAILROAD MEDICARE
UT
Enumeration date
10/13/2006
Last updated
11/30/2021
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