Individual
MARK LUNDGREEN FOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
S.P.L.
Contact information
Practice address
5801 FASHION BLVD, STE 190, MURRAY, UT 84107-6159
(801) 314-4736
Mailing address
5801 FASHION BLVD, STE 190, MURRAY, UT 84107-6159
(801) 314-4736
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
111856-4120
UT
Other
Enumeration date
04/03/2007
Last updated
07/08/2007
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