Organization
MARY ANN MCDONNELL MD PC
Active
Other names
Mary Ann McDonnell MD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY ANN MCDONNELL MD (OWNER MD PC)
(435) 628-3636
Entity
Organization
Contact information
Practice address
301 NORTH 200 EAST, SUITE 1D, ST GEORGE, UT 84770
(435) 628-3636
(435) 634-9216
Mailing address
301 NORTH 200 EAST, SUITE 1D, ST GEORGE, UT 84770
(435) 628-3636
(435) 634-9216
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
1583921205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
516523696034
—
UT
Enumeration date
12/04/2006
Last updated
08/22/2020
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