Individual
MARY ROSBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1350 E 750 N, OREM, UT 84097-4345
(801) 852-2273
Mailing address
1350 E 750 N, OREM, UT 84097-4345
(801) 852-2273
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
14185235-1206
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/08/2023
Last updated
06/04/2025
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