Organization
MARY JANE NORMAN MD A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY JANE NORMAN M.D. (OWNER/PRESIDENT)
(801) 599-5258
Entity
Organization
Contact information
Practice address
451 BISHOP FEDERAL LN, SALT LAKE CITY, UT 84115-2357
(801) 942-0616
(801) 942-6861
Mailing address
PO BOX 901797, SANDY, UT 84090-1797
(801) 599-5258
(801) 505-0803
Taxonomy
Speciality
Code
Description
License number
State
207SG0205X
Ph.D. Medical Genetics Physician
Primary
181657-1205
UT
Other
Enumeration date
02/02/2010
Last updated
03/10/2010
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