Individual
MR. MARK ELDON HYDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1952 EAST 7000 SOUTH, SUITE 100, SALT LAKE CITY, UT 84121
(801) 942-3311
(801) 942-5955
Mailing address
9063 MOUNTAIN IRIS WAY, WEST JORDAN, UT 84088
(801) 573-8362
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D1155
—
UT
Enumeration date
11/15/2006
Last updated
07/08/2007
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