| Mark Daniel Sabin, DO | |
| 630 E 1400 N Ste 135, Logan, UT 84341-2549 | |
| (435) 787-8146 | |
| Not Available | 
| Full Name | Mark Daniel Sabin | 
|---|---|
| Gender | Male | 
| Speciality | Anesthesiology - Pain Medicine | 
| Location | 630 E 1400 N Ste 135, Logan, Utah | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1841787595 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207L00000X | Anesthesiology | 009506 (Arizona) | Secondary | 
| 207LP2900X | Anesthesiology - Pain Medicine | 8017686-1204 (Utah) | Primary | 
| Entity Name | Southwest Spine And Pain Care Specialists Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1144509985 PECOS PAC ID: 6406020049 Enrollment ID: O20111117000308 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mark Daniel Sabin, DO Po Box 912042, St George, UT 84791-2042 Ph: (435) 215-0230 | Mark Daniel Sabin, DO 630 E 1400 N Ste 135, Logan, UT 84341-2549 Ph: (435) 787-8146 | 
| Jon R Robison, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 274 N Main St, Logan, UT 84321 Phone: 435-753-1600 Fax: 435-753-9521 | |
| Peter C Daines,  Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 274 N Main St, Logan, UT 84321 Phone: 435-753-1600 Fax: 435-753-9521 | |
| Vikas Garg, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 274 N Main St, Logan, UT 84321 Phone: 435-753-1600 Fax: 435-753-9521 | |
| Lyman B Stevens, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 274 N Main St, Logan, UT 84321 Phone: 435-753-1600 Fax: 435-753-9521 | |
| Joshua Tyler Christiansen, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 274 N Main St, Logan, UT 84321 Phone: 435-753-1600 | |
| Richard B Palfreyman, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 274 N Main St, Logan, UT 84321 Phone: 435-753-1600 Fax: 435-753-9521 | |
| Michael L Broadbent, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 274 N Main St, Logan, UT 84321 Phone: 435-753-1600 Fax: 435-753-9521 |