Individual
MARC WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
5848 S FASHION BLVD STE 120, MURRAY, UT 84107-6157
(801) 314-4900
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9146633-1206
UT
363A00000X
Physician Assistant
—
—
Other
Enumeration date
08/13/2014
Last updated
08/01/2024
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