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1083638308
MARK ANDREW SUPIANO
SALT LAKE CITY, UT
NPI
1083638308
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RG0300X Internal Medicine, Geriatric Medicine
(Licence: UT 5956337-1205)
Enumeration Date
2006-07-27
Last Update Date
2021-11-23
Business Address
Dr. MARK ANDREW SUPIANO M.D.
UNIVERSITY OF UTAH HEALTHCARE 30 NORTH 1900 EAST; AB193 SOM
SALT LAKE CITY, UT 84132-0001
Phone number: 801-587-9103
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Mailing Address
Dr. MARK ANDREW SUPIANO M.D.
30 N 1900 E SOM AB193
SALT LAKE CITY, UT 84132-0002
Phone number: 801-587-9103
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