Individual
MARK S NAISBITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PC
Contact information
Practice address
4401 HARRISON BOULEVARD, MCKAY DEE HOSPITAL, OGDEN, UT 84403
(801) 507-5248
(801) 733-5618
Mailing address
3340 NORTH CENTER ST, #800, LEHI, UT 84043-7406
(801) 990-1911
(801) 392-1461
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
91-184191-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100501270
—
NV
05
—
104856200
—
WY
01
—
107005583101
IHC
UT
01
—
1502954
UMWA
UT
01
—
20167
DESERET MUTUAL
UT
01
—
2090168
UNITED HEALTHCARE
UT
01
—
37807
PEHP
UT
01
—
53257
HEALTHY U
UT
05
—
804100900
—
ID
05
—
822107
—
AZ
01
—
8597445
WORKERS COMP
UT
01
—
870545614NA1
EDUCATORS MUTUAL
UT
01
—
PRA06691
MOLINA
UT
01
—
QM0000075886
ALTIUS
UT
Enumeration date
10/04/2006
Last updated
10/15/2012
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