# MARVIN JEREMY ASTLE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1467550079
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | 5898976-1205 | UT | Yes |

## Other

- **Enumeration date:** 09/20/2006
- **Last updated:** 07/08/2007

## 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 |