Mark M Loveless, PA-C

NPI #1063427904 in Provo, Utah

Provider Information

NPI Number: 1063427904
Entity Type: Individual
Name: Mark M Loveless, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jul 29, 2006
Last Updated: Jun 15, 2010

Practice Location

Address: 1134 N 500 W
Address 2: #100
City: Provo
State: Utah
ZIP Code: 84604-3383
Phone: (801) 357-7081

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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