Individual
MARK G. FLAMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
520 MEDICAL DR, STE 110, BOUNTIFUL, UT 84010-4968
(801) 397-0890
Mailing address
144 S 500 E, 2ND FLOOR, SALT LAKE CITY, UT 84102-1907
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
149717-1205
UT
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
182343-1205
UT
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
182343-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10028
—
UT
01
—
930091527
RAILROAD MEDICARE
UT
01
—
932
HEALTHY U MEDICAID
UT
01
—
B005
TRICARE
UT
Enumeration date
03/17/2006
Last updated
04/15/2010
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