Individual
MARK W SEARS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1345 W CARLOS DR, SALT LAKE CITY, UT 84119-1447
(805) 575-0128
Mailing address
1345 W CARLOS DR, SALT LAKE CITY, UT 84119-1447
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6834901-1206
UT
Other
Enumeration date
09/27/2018
Last updated
09/01/2021
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