Individual
MARK THOMAS RADMALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1400 N 500 E, LOGAN, UT 84341-2455
(435) 716-1000
Mailing address
1400 N 500 E, LOGAN, UT 84341-2455
Taxonomy
Speciality
Code
Description
License number
State
163WP0000X
Pain Management Registered Nurse
Primary
11329283-3102
UT
Other
Enumeration date
11/11/2024
Last updated
11/11/2024
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