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Mark Mottonen
NPI 1861653784 · on the registry since 2008
Practice
- Address
- 451 Bishop Federal Ln
S Salt Lake, UT 84115 - Phone
- (801) 487-7557
- Fax
- (801) 468-6838
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-11-30
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