Donaldson, Mark L

Donaldson, Mark L is an individual health care provider with primary practice located at 1055 N 500 W Suite 111, Provo UT 84604-3305. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Donaldson, Mark L can be contacted via phone (801) 374-8999.

Contact Information

Primary practice address
1055 N 500 W Suite 111 Provo UT 84604-3305
Phone: (801) 374-8999
Fax: (801) 429-8063
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 1678601205 Utah

Profile Details

NPI number 1982662102
LBN Legal business name Donaldson, Mark L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Nov 27th, 2023 - about last year

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 1982662102 NPPES
Utah Other 03-00069 UNITED HEALTHCARE
Utah Other 070003257 UNITED HEALTHCARE
Utah Other 870281028DO1 UNITED HEALTHCARE
Utah Other 107006212101 UNITED HEALTHCARE
Utah Other 4081 UNITED HEALTHCARE
Utah Other 6603 UNITED HEALTHCARE
Utah Other QM0000037164 UNITED HEALTHCARE

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