Provider Demographics
NPI:1013999622
Name:HULL, MAGGIE S (MD)
Entity type:Individual
Prefix:DR
First Name:MAGGIE
Middle Name:S
Last Name:HULL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:4546 S 815 W
Mailing Address - Street 2:SUITE #204
Mailing Address - City:TAYLORSVILLE
Mailing Address - State:UT
Mailing Address - Zip Code:84123-6967
Mailing Address - Country:US
Mailing Address - Phone:801-595-8844
Mailing Address - Fax:801-506-0188
Practice Address - Street 1:4546 S 815 W
Practice Address - Street 2:SUITE #204
Practice Address - City:TAYLORSVILLE
Practice Address - State:UT
Practice Address - Zip Code:84123-6967
Practice Address - Country:US
Practice Address - Phone:801-595-8844
Practice Address - Fax:801-506-0188
Is Sole Proprietor?:No
Enumeration Date:2005-11-18
Last Update Date:2010-04-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
UT5297985-1205208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics