Individual
MADOLIN KAY WITTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1103
(801) 662-2465
Mailing address
PO BOX 581100, SALT LAKE CITY, UT 84158-1100
(801) 213-3800
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
178319-1205
UT
Other
Enumeration date
11/03/2006
Last updated
06/12/2014
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