Organization
ELK RIDGE FAMILY PRACTICE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS MICHAEL CONCOBY D.O (PRESIDENT)
(801) 465-6100
Entity
Organization
Contact information
Practice address
1172 E 100 N STE 11, PAYSON, UT 84651-1668
(801) 465-6100
(801) 465-6114
Mailing address
1172 E 100 N STE 11, PAYSON, UT 84651-1668
(801) 465-6100
(801) 465-6114
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5656211-1204
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
530117654001
—
UT
Enumeration date
02/20/2008
Last updated
11/01/2012
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