Mark L Donaldson, MD
Mark L Donaldson, MD is a Dermatology in Provo, Utah. Graduated from University of Utah School of Medicine in 1978, 48 years ago. Practices with Revere Health PC, a 410-clinician group and accepts Medicare assignment. Licensed in Utah.
- Years since qualifying
- 48
- Trained at
- University of Utah School of Medicine
- Licensed in
- UT
- In the registry since
- 2006
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
2976 Cherokee Ln Ste 111Provo, UT 84604-4356
Phone: (801) 687-7575
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dermatology Physician (primary) | Taxonomy 207N00000X · Licence 1678601205 (UT) |
|---|
Record details
| NPI number | 1982662102 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | May 4, 2006 |
| Last updated in NPPES | January 19, 2026 |
| Certification date | January 19, 2026 |
| Mailing address | 2976 Cherokee Ln, Provo, UT 84604-4356 |
Medicare enrollment
| Medicare specialty | DERMATOLOGY |
|---|---|
| Medical school | UNIVERSITY OF UTAH SCHOOL OF MEDICINE |
| Graduated | 1978 (48 years in practice) |
| Group practice | Revere Health Pc — 410 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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