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Contact Information

MARY E BRIESKE, MD
360 E 4500 S STE 4
SALT LAKE CITY, UT84107-4297
 Phone: 801-266-0055
 Fax: 801-266-0056
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for MARY E BRIESKE · (Female)

NPI Number 1649267303
Status Active
Credentials MD
Entity Individual
Enumeration date 09/28/2005
Last updated 03/03/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • AK License # 3842
  • AK Medicaid MD3842
  • UT Medicaid 870326048001D7226
Hospital affiliation(s)
  • DIXIE REGIONAL MEDICAL CENTER - (Acute Care)
    1380 EAST MEDICAL CENTER DRIVE
    ST GEORGE, UT 84790
  • INTERMOUNTAIN MEDICAL CENTER - (Acute Care)
    5121 SOUTH COTTONWOOD STREET
    MURRAY, UT 84107
  • LOGAN REGIONAL HOSPITAL - (Acute Care)
    500 EAST 1400 NORTH
    LOGAN, UT 84341
  • MCKAY DEE HOSPITAL CENTER - (Acute Care)
    4401 HARRISON BOULEVARD
    OGDEN, UT 84403
  • VALLEY VIEW MEDICAL CENTER - (Acute Care)
    1303 NORTH MAIN STREET
    CEDAR CITY, UT 84721
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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