Individual
MARK JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1393 E SEGO LILY DR, SANDY, UT 84092-4350
(801) 619-9000
Mailing address
1393 E SEGO LILY DR, SANDY, UT 84092-4350
(801) 619-9000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
5151010468
MI
207RG0100X
Gastroenterology Physician
Primary
12142398-1204
UT
Other
Enumeration date
05/05/2015
Last updated
05/04/2021
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