Individual
COLLEEN MARIE MCDONOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
243 E 6100 S, MURRAY, UT 84107-7302
(801) 581-2955
Mailing address
7650 S CENTER SQ APT 404, MIDVALE, UT 84047-7651
(801) 664-2136
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
10071657-1109
UT
Other
Enumeration date
09/13/2021
Last updated
09/13/2021
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