Individual
MS. MARY ELISABETH GOLUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1103
(801) 662-1000
Mailing address
PO BOX 30180, SALT LAKE CITY, UT 84130-0180
(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
—
—
Other
Enumeration date
03/28/2022
Last updated
07/23/2026
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