Individual
MARK A. NOLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
295 S CHIPETA WAY, SALT LAKE CITY, UT 84108-1287
(801) 662-4180
Mailing address
295 S CHIPETA WAY, SALT LAKE CITY, UT 84108-1287
(801) 662-4180
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
4301115417
MI
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
12236682-1205
UT
Other
Enumeration date
06/20/2018
Last updated
05/27/2021
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