MARYGLEN V. STANICH

SALT LAKE CITY, UT
NPI1285261594
Former NameMARY GLEN VIELLEUX
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology
(Licence: UT  12409779-1205)
Additional Taxonomies208000000X Pediatrics
(Licence: UT  12409779-1205)
Enumeration Date2020-03-25
Last Update Date2025-10-28
Business Address
MARYGLEN V. STANICH MD
81 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113-1125
Phone number: 801-662-5701
Mailing Address
MARYGLEN V. STANICH MD
81 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113-1125
Phone number: 801-662-5701