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TAGRID RUIZ MALDONADO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
81 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1125
(801) 662-3600
Mailing address
81 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1125
(801) 662-3600

Taxonomy

Speciality
Code
Description
License number
State
2080C0008X
Child Abuse Pediatrics Physician
Primary
11273476-1205
UT

Other

Enumeration date
05/13/2016
Last updated
03/29/2022
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