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Individual

DR. BENJAMIN MARK LOREN DRUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD, PHD

Contact information

Practice address
81 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1125
(801) 662-5700
Mailing address
81 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1125
(801) 662-5700

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
11427676-1205
UT
208000000X
Pediatrics Physician
11427676-1205
UT
208M00000X
Hospitalist Physician
Primary
11427676-1205
UT

Other

Enumeration date
04/11/2018
Last updated
04/14/2022
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