Individual
MARC CHARLES HANCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NNP
Contact information
Practice address
100 N MEDICAL DR, SALT LAKE CITY, UT 84113-1103
(801) 662-4100
Mailing address
2233 S 500 E APT 134, SALT LAKE CITY, UT 84106-1492
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
4938158-4408
UT
Other
Enumeration date
12/27/2007
Last updated
12/27/2007
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