Provider Demographics
NPI:1285631358
Name:CURRAN, MARILYN LOUISE (MD)
Entity Type:Individual
Prefix:
First Name:MARILYN
Middle Name:LOUISE
Last Name:CURRAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:461 S 400 E
Mailing Address - Street 2:
Mailing Address - City:SLC
Mailing Address - State:UT
Mailing Address - Zip Code:84111-3302
Mailing Address - Country:US
Mailing Address - Phone:801-566-5494
Mailing Address - Fax:801-537-7238
Practice Address - Street 1:610 S 200 E STE B
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84111-3802
Practice Address - Country:US
Practice Address - Phone:801-539-8617
Practice Address - Fax:801-746-0420
Is Sole Proprietor?:No
Enumeration Date:2005-07-05
Last Update Date:2019-03-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
UT173612-1205207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
UTD07379Medicare UPIN