DR. Mark Richard Deneau, M.D.

NPI #1124271366 in Salt Lake City, Utah

Provider Information

NPI Number: 1124271366
Entity Type: Individual
Name: DR. Mark Richard Deneau, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pediatrics
Credential: M.D.
Enumeration Date: Oct 31, 2008
Last Updated: Dec 3, 2021

Practice Location

Address: 100 MARIO CAPECCHI DR
City: Salt Lake City
State: Utah
ZIP Code: 84113-1103
Phone: (801) 662-2900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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