Individual
DR. MARK STEVEN GOTTLIEB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1403 E SEGO LILY DR # 100B, SANDY, UT 84092-4350
(801) 316-9620
(801) 316-9626
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(801) 316-9620
(801) 316-9626
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
14197633-1204
UT
207Q00000X
Family Medicine Physician
DO2844
NV
207Q00000X
Family Medicine Physician
OS007588L
PA
Other
Enumeration date
06/08/2010
Last updated
03/18/2025
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