Willis, Marshall F

Willis, Marshall F is an individual health care provider with primary practice located at 830 N 2000 W , Pleasant Grove UT 84062-4047. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Willis, Marshall F can be contacted via phone (801) 756-3511.

Contact Information

Primary practice address
830 N 2000 W Pleasant Grove UT 84062-4047
Phone: (801) 756-3511
Fax: (801) 756-1705
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 1650701205 Utah

Profile Details

NPI number 1194833475
LBN Legal business name Willis, Marshall F
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2006
Last updated May 21st, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194833475 NPPES
Utah Other 107006253101 SELECT HEALTH
Utah Other 870293873W11 SELECT HEALTH
Utah Other QMXAF02074 SELECT HEALTH
Utah MEDICAID 06409 SELECT HEALTH
Utah Other 0456 SELECT HEALTH
Utah Other 3213 SELECT HEALTH
Utah Other 87029387384062B006 SELECT HEALTH

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