Individual
KENNETH BRIGHTON MARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CFA, SA-C
Contact information
Practice address
5901 SPRING CANYON RD, OGDEN, UT 84403-5477
(801) 513-3171
Mailing address
5901 SPRING CANYON RD, OGDEN, UT 84403-5477
(801) 991-0762
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
97014
—
Other
Enumeration date
02/26/2006
Last updated
08/09/2011
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