Marissa King
Specialist in Salt Lake, UT. Individual provider (NPI-1).
NPI number1669964516
StatusActive
Last updated in NPPESJun 5, 2018
Details
- NPI
- 1669964516
- Entity type
- Individual (NPI-1)
- Name
- Marissa King
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 5, 2018
- Last updated
- Jun 5, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | – | – | Yes |
Practice location
1141 E. 3900 S. Suite 150aSalt Lake, UT 84121
Phone 801-263-7101
Mailing address
4460 S Highland DrSalt Lake City, UT 84124-3543
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Specialist providers in Salt Lake, UT
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.