Individual
MARY R SUCHYTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9493 S 700 E, SANDY, UT 84070-3459
(801) 576-0176
Mailing address
1718 HERBERT AVE, SALT LAKE CITY, UT 84108-1830
(801) 884-8297
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
871766381204
UT
Other
Enumeration date
08/31/2006
Last updated
11/24/2018
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