Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK SEDERBERG, D.O.
ActiveMARK SEDERBERG, D.O. is a Sports Medicine (PM&R) healthcare provider located in SALT LAKE CITY, Utah. NPI 1255793576 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (PM&R) · SALT LAKE CITY, UT
Registration Details
- NPI Number
- 1255793576
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 25, 2016 (10.353880540994 yrs)
- Last Updated
- Jun 11, 2020
- Licenses
-
11741897-1204 (UT)11741897-1204 (UT)
Practice Information
- Address
-
590 S WAKARA WAYSALT LAKE CITY, UT, 841081200Browse UT providers · Browse ZIP 84108
- Phone
- 8015875400
- Primary Specialty
-
Sports Medicine (PM&R)
2081S0010X
- Additional Specialty
- Sports Medicine (PM&R)
Other Sports Medicine (PM&R) Providers in SALT LAKE CITY, UT
| Name | Credential | NPI |
|---|---|---|
| DR. CHASE K HANSEN | DPT | 1053887067 |
| TARA JOINER | MPT | 1821810581 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.