Individual
MARC A PENROD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
55 E 400 N, SPRINGVILLE, UT 84663-1347
(801) 489-8464
(801) 798-8513
Mailing address
325 W CENTER ST, SPANISH FORK, UT 84660-2060
(801) 798-7301
(801) 798-8513
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4775420-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D3633
—
UT
Enumeration date
06/02/2006
Last updated
10/20/2025
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