MARSHA K MEDFORD

PROVO, UT
NPI1215902309
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: UT  5376965-4405)
Enumeration Date2006-02-22
Last Update Date2007-07-08
Business Address
-- MARSHA K MEDFORD APRN
1165 E 300 N WASATCH MENTAL HEALTH, YOUTH OUTPATIENT
PROVO, UT 84606-3539
Phone number: 801-377-1213
Mailing Address
-- MARSHA K MEDFORD APRN
259 S 500 E
PROVO, UT 84606-4731
Phone number: 801-377-1213
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