Healthcare Provider Details

I. General information

NPI: 1760002729
Provider Name (Legal Business Name): VERONICA SO FOX MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: VERONICA MUN WEI HENNER SO

II. Dates (important events)

Enumeration Date: 04/20/2020
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5063 S COTTONWOOD ST
MURRAY UT
84107-6766
US

IV. Provider business mailing address

PO BOX 27128
SALT LAKE CITY UT
84127-0128
US

V. Phone/Fax

Practice location:
  • Phone: 801-507-1800
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number14280656-1205
License Number StateUT
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number4301511531
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: