DR. Mark Lee Wardle, D.O.

NPI #1639274574 in Ivins, Utah

Provider Information

NPI Number: 1639274574
Entity Type: Individual
Name: DR. Mark Lee Wardle, D.O.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: D.O.
Enumeration Date: Sep 14, 2006
Last Updated: Oct 23, 2018

Practice Location

Address: 255 E CENTER ST
City: Ivins
State: Utah
ZIP Code: 84738
Phone: (435) 222-1279

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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