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Contact Information

MARK A BENEDICT, DO
1400 N 500 E
LOGAN, UT84341-2455
 Phone: 435-716-4103
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for MARK A BENEDICT · (Male)

NPI # 1497191860
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 05/13/2013
Last updated 04/11/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • UT License # 10581549-1204
Hospital affiliation(s)
  • BEAR RIVER VALLEY HOSPITAL - (Acute Care)
    905 NORTH 1000 WEST
    TREMONTON, UT 84337
  • CASSIA REGIONAL MEDICAL CENTER - (Critical Access)
    1501 HILAND AVENUE
    BURLEY, ID 83318
  • FRANKLIN COUNTY MEDICAL CENTER - (Critical Access)
    44 NORTH FIRST EAST
    PRESTON, ID 83263
  • LOGAN REGIONAL HOSPITAL - (Acute Care)
    500 EAST 1400 NORTH
    LOGAN, UT 84341
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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