Mountainstar Medical Group Neurosurgery - St Marks LLC
Mountainstar Medical Group Neurosurgery - St Marks LLC is a Neurological Surgery Physician in Salt Lake City, Utah. Registered with an NPI since 2011.
- In the registry since
- 2011
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1220 E 3900 S Ste 4-ESalt Lake City, UT 84124-1377
Phone: (801) 261-8507
Fax: (801) 261-8507
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Neurological Surgery Physician (primary) | Taxonomy 207T00000X |
|---|
Record details
| NPI number | 1578859831 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Louis Joseph — Vp · (615) 373-7630 |
| NPI enumerated | June 24, 2011 |
| Last updated in NPPES | August 29, 2023 |
| Certification date | August 29, 2023 |
| Mailing address | 2000 Health Park Dr, Brentwood, TN 37027-4525 |
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