Emerald Medical Practice PC

NPI #1750195483 in Park City, Utah

Provider Information

NPI Number: 1750195483
Entity Type: Organization
Organization Name: Emerald Medical Practice PC
Primary Specialty: Specialist
Enumeration Date: Feb 4, 2025
Last Updated: Feb 4, 2025

Practice Location

Address: 1743 S SIDEWINDER DRIVE UNIT 114
City: Park City
State: Utah
ZIP Code: 84060
Phone: (307) 840-9834

Authorized Official

Name: ASHWIN MURALIDHARAN
Title: PRESIDENT
Phone: (307) 840-9834

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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