Organization
EMERGENCY PHYSICIANS GROUP
Active
Other names
Lone Peak Emergency
Organization subpart
No
Provider details
NPI number
Authorized official
MARK J PARADISE MD (PRESIDENT)
(801) 268-7975
Entity
Organization
Contact information
Practice address
11800 SOUTH STATE, DRAPER, UT 84020-0000
(801) 568-5999
Mailing address
PO BOX 95970, SOUTH JORDAN, UT 84095-0970
(801) 352-9500
(801) 352-9502
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
UT
Other
Enumeration date
03/11/2010
Last updated
06/03/2010
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