Mark Sederberg
Physical Medicine & Rehabilitation Doctor Sports Medicine
590 S Wakara Way
Salt Lake City
, Utah 84108-1200
Mark Sederberg
Physical Medicine & Rehabilitation Doctor Sports Medicine
590 S Wakara Way
Salt Lake City
, Utah 84108-1200
(801) 587-5400
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About
Features
Specialties
- Physical Medicine & Rehabilitation Doctor
- Sports Medicine
Languages spoken
- English
Location
First Address
- Mark Sederberg
- 590 S Wakara Way
- Salt Lake City, UT
- Zip : 84108-1200
- Phone : (801) 587-5400
Second Address
- Mark Sederberg
- 590 S Wakara Way
- Salt Lake City, UT
- Zip : 84108-1200
- Phone : (801) 587-5400
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FAQs
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What type of doctor is Mark Sederberg
In what state does Mark Sederberg practice in?
Where is Mark Sederberg ’s practice located?
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Is Mark Sederberg a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208100000X | Physical Medicine & Rehabilitation Doctor | 11741897-1204 | UT |
| Y | 2081S0010X | Sports Medicine | 11741897-1204 | UT |
| Y | 213ES0000X | Sports Medicine | 11741897-1204 | UT |
National Provider Identifier
| NPI | 1255793576 |
|---|---|
| Provider Name | Mark Sederberg |
| First Address | Salt Lake City, UT 84108-1200 |
| Second Address | Salt Lake City, UT 84108-1200 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/03/2016 |
| Last Update Date | 11/06/2020 |
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.