Individual
VIRGINIA VIERRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5063 COTTONWOOD ST, SUITE 160, MURRAY, UT 84107-6766
(801) 507-1850
(801) 507-1875
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 965-3600
(801) 965-3526
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
51152961205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1912097189
—
UT
Enumeration date
07/07/2006
Last updated
05/05/2008
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