Individual
DR. DONALD NILAN MARQUARDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD, MD
Contact information
Practice address
267 N MAIN ST, MOAB, UT 84532-2342
(435) 259-5276
(435) 259-5277
Mailing address
267 N MAIN ST, MOAB IMMEDIATE CARE AND XRAY, MOAB, UT 84532-2342
(435) 259-5276
(435) 259-5277
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
162396-1205
UT
207Q00000X
Family Medicine Physician
25816
IA
207Q00000X
Family Medicine Physician
4879
AK
207Q00000X
Family Medicine Physician
MD00028844
WA
Other
Enumeration date
11/18/2005
Last updated
03/30/2012
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