Individual
MARCIE WARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.EEG,T
Contact information
Practice address
860 N MAIN ST, CENTERVILLE, UT 84014-1613
(801) 706-2634
(801) 397-7091
Mailing address
869 E 4500 S # 352, SALT LAKE CITY, UT 84107-3049
(801) 706-2634
(801) 397-7091
Taxonomy
Speciality
Code
Description
License number
State
246ZE0500X
EEG Specialist/Technologist
Primary
4198
UT
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
—
—
Other
Enumeration date
09/27/2012
Last updated
09/27/2012
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