MARC K FREDERICK

SALT LAKE CITY, UT
NPI1083189831
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2018-10-08
Last Update Date2018-10-08
Business Address
MARC K FREDERICK
2216 S FOOTHILL DR APT 310G
SALT LAKE CITY, UT 84109-3998
Phone number: 517-420-8771
Mailing Address
MARC K FREDERICK
2216 S FOOTHILL DR APT 310G
SALT LAKE CITY, UT 84109-3998
Phone number:
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