Provider Demographics
NPI:1952553950
Name:MARKLAND, JOSEPH BEN (PA-C)
Entity Type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:BEN
Last Name:MARKLAND
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2599 W 2625 N
Mailing Address - Street 2:
Mailing Address - City:FARR WEST
Mailing Address - State:UT
Mailing Address - Zip Code:84404-8707
Mailing Address - Country:US
Mailing Address - Phone:801-731-2368
Mailing Address - Fax:
Practice Address - Street 1:2599 W 2625 N
Practice Address - Street 2:
Practice Address - City:FARR WEST
Practice Address - State:UT
Practice Address - Zip Code:84404-8707
Practice Address - Country:US
Practice Address - Phone:801-731-2368
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-21
Last Update Date:2008-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT100312-1206363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant