# ST MARK'S PROFESSIONAL SERVICES, LLC

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

## Provider details

- **NPI number:** 1912925629
- **Authorized official:** STEVE BATEMAN (CEO)
- **Authorized official phone:** (801) 268-7700

## Contact information

- **Practice address:** 1200 E 3900 S, SALT LAKE CITY, UT 84124-1300
- **Practice address phone:** (801) 268-7860
- **Practice address fax:** (801) 270-3331
- **Mailing address:** PO BOX 271220, SALT LAKE CITY, UT 84127-1220
- **Mailing address phone:** (801) 268-7860
- **Mailing address fax:** (801) 270-3331

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 133NN1002X | Nutrition Education Nutritionist | — | NULL | — |
| 133NN1002X | Nutrition Education Nutritionist | — | — | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 207RG0300X | Geriatric Medicine (Internal Medicine) Physician | — | NULL | — |
| 207RG0300X | Geriatric Medicine (Internal Medicine) Physician | — | — | — |
| 207RP1001X | Pulmonary Disease Physician | — | NULL | — |
| 207RP1001X | Pulmonary Disease Physician | — | — | — |

## Other

- **Enumeration date:** 07/18/2006
- **Last updated:** 02/12/2010