Organization · Type 2 NPI

Stat-Md I

Primary Care Clinic/Center · Park City, UT

NPI number 1164063277 Active

Practice location

1784 Uinta Way Unit E2
Park City, UT 84098-7685

Call (435) 604-0160 Map

Fax (435) 731-8328

Mailing address

PO Box 981630
Park City, UT 84098-1630

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician 207R00000XNone listed
Primary Care Clinic/Center Primary 261QP2300XNone listed

Primary Care Clinic/Center: Definition to come...

11 other providers at this address

About NPI 1164063277

Stat-Md I's National Provider Identifier is 1164063277, issued on Oct 1, 2019. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Park City, UT. The record was last updated on Oct 1, 2019.