Marisa Johanna Nagle M.D.

NPI 1417095837 - Pediatrics - 208000000X

NPI Details
NPI 1417095837
Gender Female
Enumeration Date 02/01/2007
Last Updated 11/09/2009
Entity Type Individual
Active Over 9 years ago
Practice Location
3723 W 12600 S
SUITE 450
RIVERTON UT, 84065-7295, US
Phone (801) 285-4543
Fax
Business Location
PO BOX 27128
SALT LAKE CITY UT, 84127-0128, US
Phone (801) 285-4543
Fax
Toxanomy
Taxonomy Code 208000000X
License State Utah
License Number 6020099-1205
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According to our database, Dr. Marisa Johanna Nagle M.D. NPI is 1417095837, taxonomy code is 208000000X and license number is 6020099-1205, license state is located at Utah. Marisa Johanna Nagle M.D. physically located at 3723 W 12600 S, Riverton UT, 84065-7295. NPI Number Marisa Johanna Nagle M.D. has the Individual type.

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1417095837 NPI number is provided on an as is basis without warranty of any kind. 1417095837 is maintained by the National Plan & Provider Enumeration System. The contents of Marisa Johanna Nagle M.D. are for informational purposes only.