Individual
MARCUS MAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
500 E 1400 N, LOGAN, UT 84341
(435) 716-2882
Mailing address
500 E 1400 N, LOGAN, UT 84341
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
04/22/2016
Last updated
04/25/2020
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