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Contact Information

ST MARK'S PROFESSIONAL SERVICES, LLC
1200 E 3900 S
SALT LAKE CITY, UT84124-1300
 Phone: 801-268-7860
 Fax: 801-270-3331
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Geriatric Medicine

207RG0300X 11 Physician/Internal Medicine
 

Nutrition, Education

133NN1002X
 

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
 

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for ST MARKS PROFESSIONAL SERVICES LLC · (Female)

NPI # 1912925629
Status Active
Credentials
Entity Individual
Enumeration date 07/18/2006
Last updated 02/12/2010 - About 16 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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