Marissa King

NPI #1669964516 in Salt Lake, Utah

Provider Information

NPI Number: 1669964516
Entity Type: Individual
Name: Marissa King
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Enumeration Date: Jun 5, 2018
Last Updated: Jun 5, 2018

Practice Location

Address: 1141 E. 3900 S. SUITE 150A
City: Salt Lake
State: Utah
ZIP Code: 84121
Phone: (801) 263-7101

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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Organizations

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