Individual
DR. JANE MARIE PORRETTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0100
(801) 581-4314
Mailing address
PO BOX 413035, SALT LAKE CITY, UT 84141-3035
(801) 213-3900
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
1836141205
UT
Other
Enumeration date
06/22/2006
Last updated
11/12/2021
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