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1275577736
MARK R. ELSTAD
SALT LAKE CITY, UT
NPI
1275577736
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RP1001X Internal Medicine, Pulmonary Disease
(Licence: UT 170754-1205)
Enumeration Date
2006-06-15
Last Update Date
2007-07-08
Business Address
Dr. MARK R. ELSTAD M.D.
VA MEDICAL CENTER 500 FOOTHILL DRIVE
SALT LAKE CITY, UT 84148-0001
Phone number: 801-584-5603
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Mailing Address
Dr. MARK R. ELSTAD M.D.
4596 FORTUNA WAY
SALT LAKE CITY, UT 84124-4768
Phone number: 801-272-3740
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