# ST MARKS HOSPITALIST PROGRAM, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770393399
- **Authorized official:** JOSH DEBRY (VICE PRESIDENT)
- **Authorized official phone:** (801) 568-5942

## Contact information

- **Practice address:** 1200 E 3900 S, SALT LAKE CITY, UT 84124-1300
- **Practice address phone:** (801) 268-7111
- **Mailing address:** 2000 HEALTH PARK DR, BRENTWOOD, TN 37027-4692
- **Mailing address phone:** (615) 373-7406

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |
| 208M00000X | Hospitalist Physician | — | NULL | — |
| 208M00000X | Hospitalist Physician | — | — | — |

## Other

- **Enumeration date:** 01/08/2025
- **Last updated:** 01/08/2025