Individual
MARK E MORITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1220 E 3900 S STE 4D, SALT LAKE CITY, UT 84124-1383
(801) 269-9939
(801) 269-9949
Mailing address
PO BOX 404, RIVERTON, UT 84065-0404
(801) 269-9939
(801) 405-7695
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
326708-0501
UT
213ES0103X
Foot & Ankle Surgery Podiatrist
326708-8907
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
91549704030
—
UT
Enumeration date
04/28/2006
Last updated
01/02/2025
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