Reilly, Mark W.

Reilly, Mark W. is an individual health care provider with primary practice located at 1050 E South Temple , Salt Lake City UT 84102-1507. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Reilly, Mark W. can be contacted via phone (801) 350-8400.

Contact Information

Primary practice address
1050 E South Temple Salt Lake City UT 84102-1507
Phone: (801) 350-8400
Fax: (801) 350-4021
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 10960 Montana
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 12470A Wyoming
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 187816-1205 Utah

Profile Details

NPI number 1699799981
LBN Legal business name Reilly, Mark W.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated Dec 6th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699799981 NPPES
Montana MEDICAID 1699799981
Montana Other 000092076

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