Organization
MAZZOLA DASCOMB P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT LOUIS MAZZOLA MD (PRESIDENT)
(801) 272-3799
Entity
Organization
Contact information
Practice address
4590 CLEARVIEW ST, HOLLADAY, UT 84117-4504
(801) 272-3799
Mailing address
4590 CLEARVIEW ST, HOLLADAY, UT 84117-4504
(801) 272-3799
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
5860780-1205
UT
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
5860780-1205
UT
207RP1001X
Pulmonary Disease Physician
5860780-8905
LA
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
5860780-1205
UT
Other
Enumeration date
06/06/2012
Last updated
06/06/2012
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