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Organization

MARY K. BEARD MD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. MARY K BEARD MD (OWNER)
(801) 355-9951
Entity
Organization

Contact information

Practice address
455 EAST SOUTH TEMPLE, #202, SALT LAKE CITY, UT 84111
(801) 355-9951
(801) 355-9968
Mailing address
455 EAST SOUTH TEMPLE, #202, SALT LAKE CITY, UT 84111
(801) 355-9951
(801) 355-9968

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
156053-1205
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
576-54-2779-043
UT
Enumeration date
12/09/2008
Last updated
12/09/2008
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