Individual
MR. MARCUS HOMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
75 N 2260 W, HURRICANE, UT 84737-2034
(435) 635-6480
Mailing address
34 WEBB, LA VERKIN, UT 84745-5309
(435) 635-9742
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
096-002163
IL
2255A2300X
Athletic Trainer
Primary
6651606-4810
UT
Other
Enumeration date
03/14/2006
Last updated
09/17/2008
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