ST. MARK'S GYNECOLOGY ONCOLOGY CARE LLC NPI 1053593921

NPI Information

ST. MARK'S GYNECOLOGY ONCOLOGY CARE LLC is a gynecologic oncology obstetrics gynecology in Salt Lake City, UT. The provider is an obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications. ST. MARK'S GYNECOLOGY ONCOLOGY CARE LLC NPI is 1053593921. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1140 E 3900 S STE 400
SALT LAKE CITY, UT
ZIP 84124-269
Phone: (801) 268-6811
Fax: (801) 743-4736

The provider's authorized official is Louis Joseph .
The authorized official title is Vp and has the following contact phone number (615) 373-7630.

The CLIA number assigned to this NPI record is 46D2170094 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/3/2007 and was last updated on 8/29/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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