Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARK LEE WARDLE, D.O.
ActiveDR. MARK LEE WARDLE, D.O. is a Family Medicine healthcare provider located in IVINS, Utah. NPI 1639274574 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · IVINS, UT
Registration Details
- NPI Number
- 1639274574
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 14, 2006 (19.916443146725 yrs)
- Last Updated
- Oct 23, 2018
- License
-
5275545-1204 (UT)
Practice Information
- Address
-
255 E CENTER STIVINS, UT, 84738Browse UT providers · Browse ZIP 84738
- Phone
- 4352221279
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in IVINS, UT
| Name | Credential | NPI |
|---|---|---|
| DR. RAYMOND JACK MIDDLETON | M.D. | 1083670459 |
| MARY C FREESH | DO | 1700031473 |
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.