Individual
MARK J SHEFFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4401 HARRISON BLVD, OGDEN, UT 84403-3195
(801) 387-4300
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 387-4300
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
56554231205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093728115
—
UT
01
—
5655423-1205
PROFESSIONAL STATE LICENSE
UT
Enumeration date
08/14/2006
Last updated
05/11/2011
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