MEDICARE: DR. MAGGIE S HULL MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	5297985-1205	UT

General Provider Information

NPI Number	:	1013999622
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MAGGIE S HULL MD

Provider Business Mailing Address
First Line	:	4546 S 815 W
Second Line	:	SUITE #204
City	:	TAYLORSVILLE
State	:	UT
Zip	:	84123-6967
Country	:	US
Telephone Number	:	801-595-8844
Fax Number	:	801-506-0188

Provider Business Practice Location Address
First Line	:	4546 S 815 W
Second Line	:	SUITE #204
City	:	TAYLORSVILLE
State	:	UT
Zip	:	84123-6967
Country	:	US
Telephone Number	:	801-595-8844
Fax Number	:	801-506-0188

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/18/2005
Last Update Date	:	04/02/2010

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Directions to “ DR. MAGGIE S HULL MD” Practice Location

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