Serra, Marian

Serra, Marian is an individual health care provider with primary practice located at 1050 E South Temple , Salt Lake City UT 84102-1507. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is her primary health care specialty. Serra, Marian can be contacted via phone (801) 350-4111.

Contact Information

Primary practice address
1050 E South Temple Salt Lake City UT 84102-1507
Phone: (801) 350-4111
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 322218-1205 Utah
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 322218-1205 Utah

Profile Details

NPI number 1013979129
LBN Legal business name Serra, Marian
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2006
Last updated May 5th, 2010 - about 14 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1013979129 NPPES
Utah MEDICAID D1884

Popular Providers