DR. Mark Douglas Ebert, MD is a pediatric radiology radiology in Salt Lake City, UT. The provider is a radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the care and management of diseases of children. A pediatric radiologist must be highly knowledgeable of all organ systems as they relate to growth and development, congenital malformations, diseases peculiar to infants and children and diseases that begin in childhood but cause substantial residual impairment in adulthood. DR. Mark Douglas Ebert, MD NPI is 1609901610. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
100 N MARIO CAPECCHI DR
DEPT OF MEDICAL IMAGING
SALT LAKE CITY, UT
ZIP 84113-103
Phone: (801) 875-1586
The NPI 1609901610 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 2/22/2007 and was last updated on 8/23/2023.