Mark David Streeval

NPI #1356801245 in Slc, Utah

Provider Information

NPI Number: 1356801245
Entity Type: Individual
Name: Mark David Streeval
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Case Manager/Care Coordinator
Enumeration Date: Mar 25, 2019
Last Updated: Mar 25, 2019

Practice Location

Address: 344 E 100 S
City: Slc
State: Utah
ZIP Code: 84111-1700
Phone: (801) 322-3222

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X	Primary

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