Individual
MARIO LUPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
46 E 300 N, MOAB, UT 84532
(435) 259-6131
Mailing address
PO BOX 867, PRICE, UT 84501-0867
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/29/2026
Last updated
04/29/2026
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