Individual
DR. MARISA JOHANNA NAGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3723 W 12600 S, SUITE 450, RIVERTON, UT 84065-7295
(801) 285-4543
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 285-4543
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
6020099-1205
UT
Other
Enumeration date
02/01/2007
Last updated
11/09/2009
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