Mahan, Mark Alexander
Mahan, Mark Alexander is an individual health care provider with primary practice located at 50 N Medical Dr , Salt Lake City UT 84132-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Mahan, Mark Alexander can be contacted via phone (801) 581-6909.Contact Information
Primary practice address
50 N Medical Dr
Salt Lake City UT 84132-0001
Phone: (801) 581-6909
Fax: (801) 581-4385
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | 9016739-1205 | Utah |
Profile Details
| NPI number | 1477733426 |
|---|---|
| LBN Legal business name | Mahan, Mark Alexander |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 7th, 2007 |
| Last updated | Nov 19th, 2021 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477733426 | NPPES |
| Arizona | Other | 80760 | TRAINING PERMIT |
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