Individual
MARK DOUGLAS ORTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5475 S 500 E, OGDEN, UT 84405-6905
(801) 479-2392
(801) 479-2396
Mailing address
PO BOX 727, BRIGHAM CITY, UT 84302-0727
(435) 734-0101
(435) 734-0103
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
52916161205
UT
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
52916161205
UT
Other
Enumeration date
05/17/2006
Last updated
04/03/2020
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