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Individual

MAREN SHIPE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
100 N MARIO CAPECCHI DR STE 3800, SALT LAKE CITY, UT 84113-1103
(801) 662-2956
Mailing address
100 N MARIO CAPECCHI DR STE 3800, SALT LAKE CITY, UT 84113-1103
(801) 662-2956

Taxonomy

Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
14026894-1205
UT

Other

Enumeration date
10/04/2012
Last updated
07/22/2024
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