Provider Demographics
NPI:1275925752
Name:MCOMIE, MARK M (AUD)
Entity Type:Individual
Prefix:
First Name:MARK
Middle Name:M
Last Name:MCOMIE
Suffix:
Gender:M
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:140 W 2100 S STE 120
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84115-1855
Mailing Address - Country:US
Mailing Address - Phone:801-484-3277
Mailing Address - Fax:801-666-2027
Practice Address - Street 1:140 W 2100 S STE 120
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84115-1855
Practice Address - Country:US
Practice Address - Phone:801-484-3277
Practice Address - Fax:801-666-2027
Is Sole Proprietor?:No
Enumeration Date:2015-02-20
Last Update Date:2021-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter