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Contact Information

MARY B FORTINI, DO
81 N MARIO CAPECCHI DR
SALT LAKE CITY, UT84113-1125
 Phone: 801-213-3599
 Fax: 015-853-7898
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Infectious Diseases

2080P0208X 37 Physician/Pediatric Medicine
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for MARY B FORTINI · (Female)

NPI Number 1689025702
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 06/30/2016
Last updated 04/22/2024 - About 2 years ago
Sole proprietor 1 Yes
Identifiers
  • NE License # 7826
  • UT License # 12831176-1204
Hospital affiliation(s) Not Available
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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