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Contact Information

MARK J DEVENPORT, MD
672 W. 400 S.
SUITE 101
SPRINGVILLE, UT84663
 Phone: 801-491-9883
 Fax: 801-489-3141
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for MARK J DEVENPORT · (Male)

NPI Number 1962453688
Status Active
Credentials MD
Entity Individual
Enumeration date 05/15/2006
Last updated 10/11/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • UT License # 340404-1205
Hospital affiliation(s) Not Available
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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