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Individual

DR. BRYCE A. MACEK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
500 S CHIPETA WAY, SALT LAKE CITY, UT 84108-1221
(801) 583-2787
Mailing address
500 S CHIPETA WAY, SALT LAKE CITY, UT 84108-1221
(801) 583-2787

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
11861878-1205
UT

Other

Enumeration date
07/10/2020
Last updated
08/13/2020
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