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Individual

DR. MARLA WEISSLER DUDAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1220 E 3900 S STE 4I, SALT LAKE CITY, UT 84124-1383
(801) 948-2380
Mailing address
3702 ASPEN PT, PARK CITY, UT 84098-4912
(561) 706-0234

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
ME72788
FL
2086X0206X
Surgical Oncology Physician
Primary
13143314-1205
UT
2086X0206X
Surgical Oncology Physician
ME72788
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
05071
BCBS
FL
01
1035777
CAREPLUS
FL
01
280120
AVMED
FL
01
3080244
CIGNA
FL
01
330975
WELLCARE
FL
01
7507281
AETNA
FL
01
P01601033
RR MEDICARE
FL
01
P1041371
FREEDOM
FL
01
P975925
OPTIMUM
FL
Enumeration date
06/28/2006
Last updated
03/05/2024
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