Individual
DR. MARK WAHEED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
THE UNIVERSITY OF UTAH, 50 NORTH MEDICAL DRIVE, SALT LAKE CITY, UT 84132-0001
(801) 581-2121
Mailing address
175 NORTH MEDICAL DRIVE EAST, FIFTH FLOOR, SALT LAKE CITY, UT 84132-0001
(801) 585-2886
(801) 581-4192
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
10340985-1204
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/26/2013
Last updated
12/17/2021
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