Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK ANDREW BENEDICT, DO
Active Sole ProprietorAnatomic Pathology & Clinical Pathology · LOGAN, UT
Registration Details
- NPI Number
- 1497191860
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 13, 2013 (12.949701814461 yrs)
- Last Updated
- Apr 11, 2019
- License
-
10581549-1204 (UT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1400 N 500 ELOGAN, UT, 843412455Browse UT providers · Browse ZIP 84341
- Phone
- 4357164103
- Primary Specialty
-
Anatomic Pathology & Clinical Pathology
207ZP0102X
Other Anatomic Pathology & Clinical Pathology Providers in LOGAN, UT
| Name | Credential | NPI |
|---|---|---|
| DR. MATTHEW M KERSHISNIK | MD | 1851363600 |
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.