DR. M.D. Mark E Fruin, NPI 1578544797
Diagnostic Radiology Physician in Murray, UT, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1578544797
NPI Entity Type Individual
Provider Name DR. M.D. Mark E Fruin
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 5444 S. Green St., Murray, UT, US
Provider Mailing Address 5444 S. Green St., Murray, UT, US, 841235632
Is Sole Proprietor? No
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Primary Taxonomy

Taxonomy Code

2085R0202X

Taxonomy Name Diagnostic Radiology Physician
Classification

Radiology

Group

Allopathic & Osteopathic Physicians

License No. 1809551205
License State UT
Description A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Business Address

DR. M.D. Mark E Fruin
5444 S. Green St.

Murray, UT, US

Phone: 801-262-8120
Fax: 801-262-3897

Mailing Address

DR. M.D. Mark E Fruin
5444 S. Green St.
Murray, UT, US
ZIP 841235632
Phone: 801-262-8120
Fax: 801-262-3897

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

2085N0700X

Allopathic & Osteopathic Physicians

Radiology

180955-1205 UT No

2085R0202X

Allopathic & Osteopathic Physicians

Radiology

M-11498 ID No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
P00255592 UT RR MEDICARE 01
P00205749 UT RR MEDICARE 01
003698900 ID MEDICAID 05
09768 UT MEDICAID 05
002089673 NV MEDICAID 05
120731800 WY MEDICAID 05
004820 AZ MEDICAID 05

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