Individual
DR. MARY A MURRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 N MEDICAL DR, SALT LAKE CITY, UT 84113-1103
(801) 587-3922
(801) 587-3997
Mailing address
295 CHIPETA WAY, PEDS ADMIN, SALT LAKE CITY, UT 84108-1220
(801) 587-7400
(801) 587-7417
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
172266-1205
UT
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
172266-1205
UT
208000000X
Pediatrics Physician
5086039-1205
UT
2080P0205X
Pediatric Endocrinology Physician
Primary
5086039-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002081022
—
NV
05
—
0143689
—
MT
05
—
121235400
—
WY
05
—
806351800
—
ID
05
—
D4394
—
UT
Enumeration date
06/06/2006
Last updated
08/04/2021
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