Individual
MARK J CACCIAMANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
466 E 500 S STE 200, SALT LAKE CITY, UT 84111-3350
(801) 485-5055
(801) 467-3296
Mailing address
522 E 100 S, SALT LAKE CITY, UT 84102-1905
(801) 485-5055
(801) 467-3296
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
49426771205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000057838
PTAN
UT
05
—
D4498
—
UT
Enumeration date
10/11/2006
Last updated
08/19/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us