Individual
WOODROW CANNON MARRIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9450 S 1300 E, SANDY, UT 84094-5555
(801) 501-2131
Mailing address
9450 S 1300 E, SANDY, UT 84094-5555
(801) 501-2131
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
7378077-1205
UT
Other
Enumeration date
06/04/2007
Last updated
11/24/2020
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