Individual
MARISSA SANTIAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2321 N 400 E STE 300, TOOELE, UT 84074-3440
(435) 833-9180
(435) 359-4505
Mailing address
1526 S MEDICAL CENTER DR, ST GEORGE, UT 84790-8715
(435) 652-7500
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
13071784-1206
UT
Other
Enumeration date
05/19/2021
Last updated
10/17/2025
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