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Individual

MARK ROBERT GREENWOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
460 N MAIN ST, RICHFIELD, UT 84701-1836
(435) 896-5496
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(435) 896-5496

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
49777791205
UT

Other

Enumeration date
07/31/2006
Last updated
06/15/2010
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