Individual
DR. MAIRI GAEL LEINING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
900 ROUND VALLEY DR, PARK CITY, UT 84060-7552
(435) 658-7000
(530) 541-8723
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(435) 658-7000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A92496
CA
208M00000X
Hospitalist Physician
Primary
7744218-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A924960
—
CA
05
—
100510444
—
NV
Enumeration date
10/06/2005
Last updated
07/21/2022
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