Individual
ROCCO CARL CONCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1200 E 3900 S, SALT LAKE CITY, UT 84124-1300
(801) 268-7111
Mailing address
556 E 2100 S, SALT LAKE CITY, UT 84106-3015
(303) 815-2125
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
14158207-1206
UT
363AS0400X
Surgical Physician Assistant
14158207-1206
UT
Other
Enumeration date
03/30/2022
Last updated
12/20/2024
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