Individual
DR. MARJORIE JANE MATHIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
5121 S COTTONWOOD ST, MURRAY, UT 84107-5701
(801) 408-6220
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 408-6220
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9104460-1204
UT
207R00000X
Internal Medicine Physician
OP00001950
WA
208M00000X
Hospitalist Physician
9104460-1204
UT
208M00000X
Hospitalist Physician
OP00001950
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8445835
—
WA
Enumeration date
04/17/2007
Last updated
12/03/2022
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