Individual
STEPHEN P MARBLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8074 S 1300 E, SANDY, UT 84094-0743
(801) 565-6500
(801) 565-6501
Mailing address
PO BOX 307, BOUNTIFUL, UT 84011-0307
(888) 700-6907
(801) 294-6917
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
187819-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2600404994002
—
UT
Enumeration date
07/21/2006
Last updated
07/08/2007
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