Organization · Type 2 NPI
Emerald City Medical Practice PA
Specialist · Park City, UT
NPI number
1962310599
Active
Practice location
1441 Ute Blvd Ste 370
Park City, UT 84098-7718
Mailing address
50 W Broadway Ste 333
Salt Lake City, UT 84101-2027
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | None listed |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Another provider at this address
Other specialist providers in Park City
About NPI 1962310599
Emerald City Medical Practice PA's National Provider Identifier is 1962310599, issued on Sep 1, 2026. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Park City, UT. The record was last updated on Sep 1, 2026.