# PARK CITY HEALTHCARE, PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Park City Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508067950
- **Authorized official:** STEPHEN F SWANSON (ADMINISTRATOR)
- **Authorized official phone:** (435) 649-7640

## Contact information

- **Practice address:** 1665 BONANZA DRIVE, PARK CITY, UT 84060
- **Practice address phone:** (435) 649-7640
- **Practice address fax:** (435) 649-1365
- **Mailing address:** P.O. BOX 680670, PARK CITY, UT 84068
- **Mailing address phone:** (435) 649-7640
- **Mailing address fax:** (435) 776-9353

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 173000000X | Legal Medicine | — | NULL | Yes |
| 173000000X | Legal Medicine | — | — | Yes |

## Other

- **Enumeration date:** 05/31/2007
- **Last updated:** 07/22/2011