Individual
MR. GREG J MAHRT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, RD
Contact information
Practice address
6822 EAST 1000 SOUTH, FT. DUCHESNE, UT 84026
(435) 722-5122
Mailing address
2215 W 1500 N, VERNAL, UT 84078-9623
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
893268
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
893268
REGISTERED DIETITIAN
UT
Enumeration date
09/07/2006
Last updated
07/08/2007
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