Individual
ROBERT O. MCRAE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
81 S MARIO CAPECCHI DR RM 4E207, SALT LAKE CITY, UT 84112-5888
(801) 581-2121
Mailing address
81 S MARIO CAPECCHI DR RM 4E207, SALT LAKE CITY, UT 84112-5888
(801) 581-2121
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
14215839-1205
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/11/2019
Last updated
04/08/2025
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