MISS Mark White, PA-C

NPI #1619455359 in Murray, Utah

Provider Information

NPI Number: 1619455359
Entity Type: Individual
Name: MISS Mark White, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Aug 3, 2018
Last Updated: Jun 27, 2019

Practice Location

Address: 5848 S FASHION BLVD
City: Murray
State: Utah
ZIP Code: 84107-6157
Phone: (801) 314-8300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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