Organization · Type 2 NPI

Mountainstar Medical Group-St. Marks Hospital, LLC

Family Medicine Physician · Salt Lake City, UT

NPI number 1073795258 Active

Practice location

348 E 4500 S Ste 300
Salt Lake City, UT 84107-8535

Call (801) 266-2777 Map

Mailing address

2000 Health Park Dr
Brentwood, TN 37027-4525

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2 other providers at this address

Other family medicine physician providers in Salt Lake City

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NPI record

NPI: 1073795258
Entity type: Organization (Type 2)
Issued: Nov 29, 2007
Last updated: Jan 2, 2023
Status: Active

Other names

<unavail>
St. Mark's Millcreek Primary Care · former legal business name
St. Mark's Millcreek Primary Care · former legal business name

Authorized official

Louis Joseph
VP
(615) 373-7630

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1073795258

Mountainstar Medical Group-St. Marks Hospital, LLC's National Provider Identifier is 1073795258, issued on Nov 29, 2007. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Salt Lake City, UT. The record was last updated on Jan 2, 2023.