Individual
MR. MARK A HYDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
HELIX BLDG 5050, 30 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84112
(801) 581-2955
Mailing address
284 LEWIS PARK DR, BOUNTIFUL, UT 84010-5748
(801) 581-2955
(801) 585-3903
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6305915-1206
UT
Other
Enumeration date
07/20/2006
Last updated
03/04/2024
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