Mark Cacciamani, MD

NPI 1063500163 · on the registry since 2006

Practice

Address: 466 E 500 S Ste 200
Salt Lake City, UT 84111
Phone: (801) 485-5055
Fax: (801) 467-3296
Organisation at this address: Ma Bo Inc
Ma Bo Inc
Pure Dermatology Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 207Q00000X
207Q00000X
Licence states on file: UT
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2024-08-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah