Individual
MARTIN MACNEILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
895 N 900 E, AMERICAN FORK, UT 84003-9183
(801) 763-4201
(801) 763-4073
Mailing address
895 N 900 E, AMERICAN FORK, UT 84003-9183
(801) 763-4201
(801) 763-4073
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
177717-1204
UT
Other
Enumeration date
08/09/2005
Last updated
10/10/2008
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