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Individual

KENT G MARSHALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
700 W 800 N STE 400, OREM, UT 84057-6305
(801) 221-8811
(801) 221-8805
Mailing address
1055 N 500 W, CREDENTIALING DEPARTMENT, PROVO, UT 84604-3305
(801) 354-8225
(801) 418-0941

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
183738-1205
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
04-00986
UNITED HEALTHCARE
UT
01
107006950102
IHC
UT
01
351047
DMBA
UT
01
73466
PEHP
UT
05
870281028000
UT
01
870281028MA6
EMIA
UT
01
P00048651
PALMETTO
UT
01
QM0000068055
ALTIUS
UT
Enumeration date
07/19/2006
Last updated
11/27/2023
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