Individual
MARY JOAN SHEETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 N MEDICAL DR, SALT LAKE CITY, UT 84113
(801) 581-2121
Mailing address
PO BOX 581100, SALT LAKE CITY, UT 84158-1100
(801) 213-3800
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
326759-1205
UT
2080H0002X
Pediatric Hospice and Palliative Medicine Physician
Primary
326759-1205
UT
Other
Enumeration date
11/03/2006
Last updated
06/19/2018
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