# MARK ALAN RADA

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942516059
- **Authorized official:** MARK ALAN RADA M.D. (SOLE MEMBER)
- **Authorized official phone:** (801) 572-0311

## Contact information

- **Practice address:** 8074 S 1300 E, SANDY, UT 84094-0743
- **Practice address phone:** (801) 565-6500
- **Mailing address:** PO BOX 307, BOUNTIFUL, UT 84011-0307
- **Mailing address phone:** (801) 294-6907
- **Mailing address fax:** (801) 294-6917

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 364209-8905 | UT | Yes |

## Other

- **Enumeration date:** 08/26/2010
- **Last updated:** 08/26/2010