Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | 91-184191-1205 | UT |
NPI | 1003901190 |
---|---|
Provider Name | Mark S Naisbitt |
First Address | Lehi, UT 84043-7406 |
Second Address | Ogden, UT 84403 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/10/2006 |
Last Update Date | 15/10/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
100501270 | (05) | NV |
104856200 | (05) | WY |
107005583101 | IHC (01) | UT |
1502954 | UMWA (01) | UT |
20167 | DESERET MUTUAL (01) | UT |
2090168 | UNITED HEALTHCARE (01) | UT |
37807 | PEHP (01) | UT |
53257 | HEALTHY U (01) | UT |
804100900 | (05) | ID |
822107 | (05) | AZ |
8597445 | WORKERS COMP (01) | UT |
870545614NA1 | EDUCATORS MUTUAL (01) | UT |
E82062 | (02) | UT |
PRA06691 | MOLINA (01) | UT |
QM0000075886 | ALTIUS (01) | UT |