Individual
MARY WEAVER VEGHTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
750 ROUND VALLEY DR, PARK CITY, UT 84060-7548
(435) 649-7680
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11028577-1205
UT
Other
Enumeration date
04/01/2015
Last updated
03/18/2019
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