Individual
MR. MARK M CANTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
S.T.
Contact information
Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
(801) 581-2121
Mailing address
PO BOX 510721, SALT LAKE CITY, UT 84151-0721
(801) 587-6872
(801) 587-6675
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
110890-4102
UT
Other
Enumeration date
08/16/2006
Last updated
11/11/2021
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