Mary R Suchyta, MD
Internal Medicine in Sandy, UT. Individual provider (NPI-1).
NPI number1720199201
StatusActive
Last updated in NPPESNov 24, 2018
Details
- NPI
- 1720199201
- Entity type
- Individual (NPI-1)
- Name
- Mary R Suchyta
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 31, 2006
- Last updated
- Nov 24, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 871766381204 | UT | Yes |
Practice location
9493 S 700 ESandy, UT 84070-3459
Phone 801-576-0176
Mailing address
1718 Herbert AveSalt Lake City, UT 84108-1830
Phone 801-884-8297
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