Individual provider · Type 1 NPI

Mark Montogomery Sullivan, PAC, MPAS

Physician Assistant · Murray, UT

NPI number 1700023348 Active

Practice location

5121 Cottonwood St, Suite 320
Murray, UT 84107-5701

Call (801) 507-3380 Map

Mailing address

2609 Oak Creek Dr
Sandy, UT 84093-6522

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X7131889-1206 (UT)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1700023348

Mark Montogomery Sullivan, PAC, MPAS's National Provider Identifier is 1700023348, issued on Jan 20, 2009. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Murray, UT. The record was last updated on Jan 25, 2010.