Individual
MR. MARK A. MCKAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
65 MARIO CAPECCHI DR, SALT LAKE CITY, UT 84132-1000
(801) 581-2352
Mailing address
65 N. MARIO CAPECCHI DR., SALT LAKE CITY, UT 84132-0001
(801) 581-3195
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
113571-9934
UT
Other
Enumeration date
10/18/2006
Last updated
11/20/2021
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