Provider Demographics
NPI:1366737819
Name:HILL, MARK L (MD)
Entity type:Individual
Prefix:DR
First Name:MARK
Middle Name:L
Last Name:HILL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2255 N 1700 W STE 100
Mailing Address - Street 2:
Mailing Address - City:LAYTON
Mailing Address - State:UT
Mailing Address - Zip Code:84041-1148
Mailing Address - Country:US
Mailing Address - Phone:801-773-0690
Mailing Address - Fax:801-773-0697
Practice Address - Street 1:2255 N 1700 W STE 100
Practice Address - Street 2:
Practice Address - City:LAYTON
Practice Address - State:UT
Practice Address - Zip Code:84041-1148
Practice Address - Country:US
Practice Address - Phone:801-773-0690
Practice Address - Fax:801-773-0697
Is Sole Proprietor?:No
Enumeration Date:2011-06-13
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
UT55061081205207W00000X
NV15817207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology