Individual
MR. MARK ERIC BEESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
590 S WAKARA WAY, SALT LAKE CITY, UT 84108-1200
(801) 587-1473
(801) 587-7115
Mailing address
580 WAKARA WAY, SALT LAKE CITY, UT 84108
(801) 587-1473
(801) 587-7115
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
7726414-4810
UT
Other
Enumeration date
02/03/2016
Last updated
02/03/2016
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