Individual
DR. MARK E FRUIN
Active
Individual
DR. MARK E FRUIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
180955-1205
UT
2085R0202X
Diagnostic Radiology Physician
Primary
1809551205
UT
2085R0202X
Diagnostic Radiology Physician
M-11498
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002089673
—
NV
05
—
003698900
—
ID
05
—
004820
—
AZ
05
—
09768
—
UT
05
—
120731800
—
WY
01
—
P00205749
RR MEDICARE
UT
01
—
P00255592
RR MEDICARE
UT
Enumeration date
11/07/2005
Last updated
08/30/2012
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up