Individual
MR. MARK JAMES DEWEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
316 E 1060 S, IVINS, UT 84738-6250
(435) 229-6333
Mailing address
316 E 1060 S, IVINS, UT 84738-6250
(435) 229-6333
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F10210417
UT
Other
Enumeration date
10/26/2021
Last updated
10/26/2021
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