Individual
MARC RUSSELL LOUDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1020 S MAIN ST STE 100, SALT LAKE CITY, UT 84101-3194
(801) 595-4210
Mailing address
4460 S HIGHLAND DR STE 120, SALT LAKE CITY, UT 84124-3550
(888) 949-4864
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
6846846-3102
UT
Other
Enumeration date
03/28/2023
Last updated
03/28/2023
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