Individual
MARK JOHN OTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5169 S COTTONWOOD ST, SUITE 400, MURRAY, UT 84107-6767
(801) 507-3462
(801) 507-3061
Mailing address
5169 S COTTONWOOD ST, SUITE 400, MURRAY, UT 84107-6767
(801) 507-3462
(801) 507-3061
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
5135057-1205
UT
2086X0206X
Surgical Oncology Physician
153899
MA
2086X0206X
Surgical Oncology Physician
5135057-1205
UT
Other
Enumeration date
02/08/2006
Last updated
01/10/2022
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