Individual
MR. MARK P PULVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
4252 S HIGHLAND DR STE 200, SALT LAKE CITY, UT 84124-2690
(801) 262-3600
(801) 262-3600
Mailing address
4252 S HIGHLAND DR STE 200, SALT LAKE CITY, UT 84124-2690
(801) 262-3600
(801) 262-3659
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6766665-1206
UT
Other
Enumeration date
03/19/2008
Last updated
05/05/2026
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