Mark Alan Rada

NPI #1942516059 in Sandy, Utah

Provider Information

NPI Number: 1942516059
Entity Type: Organization
Organization Name: Mark Alan Rada
Primary Specialty: Internal Medicine
Enumeration Date: Aug 26, 2010
Last Updated: Aug 26, 2010

Practice Location

Address: 8074 S 1300 E
City: Sandy
State: Utah
ZIP Code: 84094-0743
Phone: (801) 565-6500

Authorized Official

Name: MARK ALAN RADA, M.D.
Title: SOLE MEMBER
Phone: (801) 572-0311

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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