Individual
MARVIN R ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
395 W COUGAR BLVD, PROVO, UT 84604-3317
(801) 357-4600
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
339476-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060042587
PALMETTO
UT
01
—
10242
IHC
UT
01
—
25-00139
UNITED HEALTH CARE
UT
01
—
311142
DMBA
UT
01
—
44358
PEHP
UT
05
—
870281028000
—
UT
01
—
870281028AL1
EMIA
UT
01
—
QM0000001423
ALTIUS HEALTH PLANS
UT
Enumeration date
04/18/2006
Last updated
06/11/2026
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