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Individual
DR. MARK E. RUSH
Active
Individual
DR. MARK E. RUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
170833-1205
UT
207L00000X
Anesthesiology Physician
1708331205
UT
207LP2900X
Pain Medicine (Anesthesiology) Physician
1708331205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107018852101
SELECTHEALTH
UT
01
—
12600
UUHP
UT
01
—
17083312000001
BLUE CROSS
UT
01
—
170901
DMBA
UT
01
—
73000
PEHP
UT
01
—
QM0000030147
ALTIUS
UT
01
—
TPRA07445
MOLINA
UT
Enumeration date
05/22/2006
Last updated
09/11/2019
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