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Individual
MARVIN JEREMY ASTLE
Active
Individual
MARVIN JEREMY ASTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
5898976-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107389211101
IHC
UT
01
—
243341
ALTIUS
UT
01
—
82347
PEHP
UT
01
—
88999
HEALTHY U
UT
01
—
902487
DESERET MUTUAL
UT
01
—
QMP000002261759
MOLINA
UT
Enumeration date
09/20/2006
Last updated
07/08/2007
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