Individual
MARK ANDREW BENEDICT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1400 N 500 E, LOGAN, UT 84341-2455
(435) 716-4103
Mailing address
1400 N 500 E, LOGAN, UT 84341-2455
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
10581549-1204
UT
Other
Enumeration date
05/13/2013
Last updated
04/11/2019
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