Provider Demographics
NPI:1790969384
Name:FOX, RITA KAY (MD)
Entity Type:Individual
Prefix:DR
First Name:RITA
Middle Name:KAY
Last Name:FOX
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:495 EAST 4500 SOUTH
Mailing Address - Street 2:SUITE #200
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84107
Mailing Address - Country:US
Mailing Address - Phone:801-595-8844
Mailing Address - Fax:801-506-0188
Practice Address - Street 1:495 EAST 4500 SOUTH
Practice Address - Street 2:SUITE #200
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84107
Practice Address - Country:US
Practice Address - Phone:801-595-8844
Practice Address - Fax:801-506-0188
Is Sole Proprietor?:No
Enumeration Date:2007-12-19
Last Update Date:2018-01-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
UT188617-1205208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
UTD0201OtherMEDICAID LICENSE