Individual
MS. MARY ELISABETH GOLUB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1405 W MINER LOOP RD, SOUTH JORDAN, UT 84095-1324
(801) 903-3489
Mailing address
1405 W MINER LOOP RD, SOUTH JORDAN, UT 84095-1324
(801) 903-3489
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
14184873-1206
UT
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/28/2022
Last updated
12/04/2025
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