Organization
EMERALD MEDICAL PRACTICE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHWIN MURALIDHARAN (PRESIDENT)
(307) 840-9834
Entity
Organization
Contact information
Practice address
1743 SIDEWINDER DRIVE, PARK CITY, UT 84060
(307) 840-9834
(833) 450-0933
Mailing address
1743 SIDEWINDER DRIVE, UNIT 114, PARK CITY, UT 84060
(307) 840-9834
(833) 450-0933
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
02/25/2025
Last updated
03/28/2025
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