Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

St Marks Hospitalist Program, LLC

Organization Obstetrics & Gynecology Physician · NPI 1770393399

St Marks Hospitalist Program, LLC is an Obstetrics & Gynecology Physician in Salt Lake City, Utah. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1200 E 3900 S
Salt Lake City, UT 84124-1300
Phone: (801) 268-7111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X
Hospitalist Physician Taxonomy 208M00000X

Record details

NPI number1770393399
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Josh Debry — Vice President · (801) 568-5942
NPI enumeratedJanuary 8, 2025
Last updated in NPPESJanuary 8, 2025
Certification dateJanuary 8, 2025
Mailing address2000 Health Park Dr, Brentwood, TN 37027-4692

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