Individual
MALLORY SHOWALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
81 N MARIO CAPECCHI DR STE 1A.011, SALT LAKE CITY, UT 84113-1125
(801) 662-5700
Mailing address
81 N MARIO CAPECCHI DR STE 1A.011, SALT LAKE CITY, UT 84113-1125
(801) 662-5700
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
14245038-1205
UT
Other
Enumeration date
03/29/2024
Last updated
03/18/2026
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