Individual
ROBERTA Y WANG
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
50 N MEDICAL DR, SLC, UT 84132-0001
(801) 581-2719
Mailing address
PO BOX 58859, SLC, UT 84158-0859
(801) 585-5172
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
6053973-1205
UT
Other
Enumeration date
05/17/2006
Last updated
07/08/2007
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