Individual
DR. RONG MAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
500 CHIPETA WAY, SALT LAKE CITY, UT 84108-1221
(801) 581-2507
Mailing address
PO BOX 581054, SALT LAKE CITY, UT 84158-1054
(801) 213-3800
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MAOXR1
NY
Other
Enumeration date
11/20/2006
Last updated
07/08/2007
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