Individual
MARY KATHLEEN K. AGARWALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
(801) 581-2121
Mailing address
30 N 1900 E RM 3C444, SALT LAKE CITY, UT 84132-0001
(801) 581-3622
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
12994410-1205
UT
Other
Enumeration date
04/02/2021
Last updated
08/31/2022
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