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NPI Code Detail

MEDICARE: MARLA MCLAUGHLIN M.D. INC.

MEDICARE: MARLA MCLAUGHLIN M.D. INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QP2300XPrimary Care Clinic/Center

General Provider Information

NPI Number : 1720571607
Entity Type Code : Organization
Provider Name (Legal Business Name) : MARLA MCLAUGHLIN M.D. INC.
Provider Business Mailing Address
First Line : 100 W TOWNE RIDGE PKWY STE 200
Second Line :
City : SANDY
State : UT
Zip : 84070-5530
Country : US
Telephone Number : 206-395-7870
Fax Number :
Provider Business Practice Location Address
First Line : 2220 NORTHPOINT PKWY
Second Line :
City : SANTA ROSA
State : CA
Zip : 95407-7398
Country : US
Telephone Number : 707-526-3180
Fax Number : 707-755-8968
Authorized Official
Title or Position : LICENSING ANALYST & LEGAL ASST
Name : VANYA ELLER
Credential :
Telephone Number : 206-395-7870
Provider Enumeration Date : 06/14/2018
Last Update Date : 01/16/2026

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