# MR. MARK A MAYR

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1215197488
- **Gender:** Man
- **Credential:** RD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 133VN1005X | Renal Nutrition Registered Dietitian | 69782354901 | UT | Yes |

## Other

- **Enumeration date:** 06/11/2008
- **Last updated:** 06/11/2008