Organization
JERRY MARSDEN MD A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERRY MARSDEN MD (PRESIDENT)
(435) 628-3334
Entity
Organization
Contact information
Practice address
1490 E FOREMASTER DR, SUITE 350, ST GEORGE, UT 84790-4488
(435) 628-3334
Mailing address
1490 E FOREMASTER DR, SUITE 350, ST GEORGE, UT 84790-4488
(435) 628-3334
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
153367-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
528562878007
—
UT
Enumeration date
07/05/2007
Last updated
04/15/2008
Update your record
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