Provider Demographics
NPI:1528098571
Name:LISTER, MARGIT SZABO (MD)
Entity type:Individual
Prefix:DR
First Name:MARGIT
Middle Name:SZABO
Last Name:LISTER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MARGIT
Other - Middle Name:RUTH
Other - Last Name:SZABO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 27128
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84127-0128
Mailing Address - Country:US
Mailing Address - Phone:801-786-7500
Mailing Address - Fax:
Practice Address - Street 1:2400 N WASHINGTON BLVD
Practice Address - Street 2:
Practice Address - City:OGDEN
Practice Address - State:UT
Practice Address - Zip Code:84414-7233
Practice Address - Country:US
Practice Address - Phone:801-786-7500
Practice Address - Fax:801-737-9531
Is Sole Proprietor?:No
Enumeration Date:2006-07-04
Last Update Date:2008-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT62287191205207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
000059050Medicare PIN
UT000063384Medicare PIN
H93935Medicare UPIN
000059051Medicare PIN