MARK E FRUIN

MURRAY, UT
NPI1578544797
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0202X Radiology Diagnostic Radiology
(Licence: UT  1809551205)
Additional Taxonomies2085N0700X Radiology Neuroradiology
(Licence: UT  180955-1205)
2085R0202X Radiology Diagnostic Radiology
(Licence: ID  M-11498)
Enumeration Date2005-11-07
Last Update Date2012-08-30
Business Address
DR. MARK E FRUIN M.D.
5444 S. GREEN ST.
MURRAY, UT 84123-5632
Phone number: 801-262-8120
Mailing Address
DR. MARK E FRUIN M.D.
5444 S. GREEN ST.
MURRAY, UT 84123-5632
Phone number: 801-262-8120