Individual
MR. DOUGLAS MARR WOSETH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1548 EAST 4500 SOUTH,, SUITE 202, SALT LAKE, UT 84117-5209
(801) 266-8841
(801) 266-0449
Mailing address
1548 EAST 4500 SOUTH,, SUITE 202, SALT LAKE, UT 84117-5209
(801) 266-8841
(801) 266-0449
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
6144238
UT
207N00000X
Dermatology Physician
A79309
CA
Other
Enumeration date
08/09/2005
Last updated
09/09/2014
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