Individual
MRS. MARCIA MARIE MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4 LONGWOOD LANE, SANDY, UT 84092
(801) 501-9734
Mailing address
PO BOX 711640, SALT LAKE CITY, UT 84171
(801) 501-9734
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
149372-1205
UT
Other
Enumeration date
09/22/2017
Last updated
09/22/2017
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