Individual
DR. MARYANA CAROLE BOULOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1250 E 3900 S STE 260, SALT LAKE CITY, UT 84124-1371
(801) 265-2000
Mailing address
1365 W 1000 N, SALT LAKE CITY, UT 84116-1654
(801) 328-5750
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12851770-1205
UT
207Q00000X
Family Medicine Physician
12851770-1205-1205
UT
Other
Enumeration date
06/18/2019
Last updated
11/09/2023
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