Provider Demographics
NPI:1558327361
Name:KLUTHE, MARGARET ANN (MD)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:ANN
Last Name:KLUTHE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:4590 HARRISON BLVD
Mailing Address - Street 2:SUITE 200 A
Mailing Address - City:OGDEN
Mailing Address - State:UT
Mailing Address - Zip Code:84403-3340
Mailing Address - Country:US
Mailing Address - Phone:801-479-8286
Mailing Address - Fax:801-479-8247
Practice Address - Street 1:4590 HARRISON BLVD
Practice Address - Street 2:SUITE 200 A
Practice Address - City:OGDEN
Practice Address - State:UT
Practice Address - Zip Code:84403-3340
Practice Address - Country:US
Practice Address - Phone:801-479-8286
Practice Address - Fax:801-479-8247
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-21
Last Update Date:2015-08-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
UT217605-1205208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics