Organization · Type 2 NPI

Mountainstar Medical Group Neurosurgery - ST Marks LLC

Neurological Surgery Physician · Salt Lake City, UT

NPI number 1578859831 Active

Practice location

1220 E 3900 S, Ste. 4-E
Salt Lake City, UT 84124-1377

Call (801) 261-8507 Map

Fax (801) 261-8507

Mailing address

2000 Health Park Dr
Brentwood, TN 37027-4525

Specialties and licenses

TaxonomyCodeLicense
Neurological Surgery Physician Primary 207T00000XNone listed

Neurological Surgery Physician: A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the opera…

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About NPI 1578859831

Mountainstar Medical Group Neurosurgery - ST Marks LLC's National Provider Identifier is 1578859831, issued on Jun 24, 2011. The primary taxonomy on file is Neurological Surgery Physician (207T00000X), and the practice location is in Salt Lake City, UT. The record was last updated on Aug 29, 2023.