Individual
KATHERINE HADLEY WOLPERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1103
(765) 491-3208
Mailing address
100 MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1103
(765) 491-3208
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
61039332
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/25/2013
Last updated
04/12/2020
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