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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 MARK'S PROFESSIONAL SERVICES, LLC

NPI # 1912925629
LBN Legal business name ST MARK'S PROFESSIONAL SERVICES, LLC
Authorized official STEVE BATEMAN - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 07/18/2006
Last updated 02/12/2010 - About 16 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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