Mark H Keep
Internist - Addiction Medicine
11762 S State St 360
Draper
, Utah 84020-7155
Mark H Keep
Internist - Addiction Medicine
11762 S State St 360
Draper
, Utah 84020-7155
(801) 699-6977
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About
Features
Specialties
- Internist - Addiction Medicine
Languages spoken
- English
Location
First Address
- Mark H Keep
- 621 E Mayor Place Dr
- American Fork, UT
- Zip : 84003-8015
- Phone : (801) 699-6977
Second Address
- Mark H Keep
- 11762 S State St 360
- Draper, UT
- Zip : 84020-7155
- Fax : (801) 571-0101
- Phone : (801) 696-8485
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RA0401X | Internist - Addiction Medicine | 1816821205 | UT |
National Provider Identifier
| NPI | 1609859297 |
|---|---|
| Provider Name | Mark H Keep |
| First Address | American Fork, UT 84003-8015 |
| Second Address | Draper, UT 84020-7155 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/11/2005 |
| Last Update Date | 19/07/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| F76019 | (02) | UT |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.