Individual
MARK B. BROMBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.,PH.D.
Contact information
Practice address
30 N 1900 E SOM # 3R210, SALT LAKE CITY, UT 84132-0001
(801) 585-5885
Mailing address
2782 ST MARYS WAY, SALT LAKE CITY, UT 84108-2040
(801) 585-5885
(801) 585-2054
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
274745-1205
UT
2084N0400X
Neurology Physician
8340A
WY
Other
Enumeration date
10/04/2006
Last updated
11/11/2021
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