Individual
MCKAY RUSSELL CARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
42 E 300 N, SPANISH FORK, UT 84660-1859
(801) 896-1961
Mailing address
42 E 300 N, SPANISH FORK, UT 84660-1859
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/05/2023
Last updated
06/05/2023
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