Sederberg, Mark

Sederberg, Mark is an individual health care provider with primary practice located at 590 S Wakara Way , Salt Lake City UT 84108-1200. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Sederberg, Mark can be contacted via phone (801) 587-5400.

Contact Information

Primary practice address
590 S Wakara Way Salt Lake City UT 84108-1200
Phone: (801) 587-5400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 11741897-1204 Utah
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X 11741897-1204 Utah

Profile Details

NPI number 1255793576
LBN Legal business name Sederberg, Mark
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 25th, 2016
Last updated Jun 11th, 2020 - about 5 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.

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