Healthcare Provider Details

I. General information

NPI: 1528098571
Provider Name (Legal Business Name): MARGIT SZABO LISTER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MARGIT RUTH SZABO M.D.

II. Dates (important events)

Enumeration Date: 07/04/2006
Last Update Date: 07/03/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2400 N WASHINGTON BLVD
OGDEN UT
84414-7233
US

IV. Provider business mailing address

PO BOX 27128
SALT LAKE CITY UT
84127-0128
US

V. Phone/Fax

Practice location:
  • Phone: 801-786-7500
  • Fax: 801-737-9531
Mailing address:
  • Phone: 801-786-7500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number62287191205
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: