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Individual

MARK OGILVIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
5217 S STATE ST STE 200, MURRAY, UT 84107-4812
(801) 313-4128
Mailing address
5217 S STATE ST STE 200, MURRAY, UT 84107-4812
(801) 313-4128

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
42365
AL
2085R0202X
Diagnostic Radiology Physician
Primary
12848372-1205
UT

Other

Enumeration date
05/14/2012
Last updated
11/14/2023
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