Individual
MARK R ELKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
4019 W 12600 SOUTH, SUITE 120, RIVERTON, UT 84096-7302
(801) 253-6886
(801) 253-6888
Mailing address
4019 W 12600 SOUTH, SUITE 120, RIVERTON, UT 84096-7302
(801) 253-6886
(801) 253-6888
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
53469480401
UT
Other
Enumeration date
07/19/2005
Last updated
07/08/2007
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