Individual
MARC TAYLOR MITTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
5748 ADAMS AVE PKWY, WASHINGTON TERRACE, UT 84405-6947
(801) 827-9100
Mailing address
3794 E 3600 N, LIBERTY, UT 84310-9506
(801) 458-0162
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
OT018578
PA
Other
Enumeration date
04/01/2017
Last updated
08/24/2021
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