Individual
DR. CATHERINE CORBETT QUALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
100 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1103
(801) 662-1234
Mailing address
PO BOX 581289, SALT LAKE CITY, UT 84158-1289
(801) 587-7435
(801) 587-7455
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
103202441204
UT
208000000X
Pediatrics Physician
OP61025252
WA
Other
Enumeration date
04/08/2014
Last updated
06/12/2020
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