Individual
DR. MARK JOSEPH ELIASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
UNIVERSITY HOSPITAL, 1900 EAST 50 NORTH MEDICAL DR., SALT LAKE CITY, UT 84132-0001
(801) 581-6465
Mailing address
1139 BRYAN AVE, SALT LAKE CITY, UT 84105-2507
(801) 363-0433
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
6289994-1205
UT
Other
Enumeration date
06/18/2007
Last updated
12/02/2021
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