MARK DOUGLAS EBERT

SALT LAKE CITY, UT
NPI1609901610
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085P0229X Radiology, Pediatric Radiology
(Licence: UT  8209945-1205)
Additional Taxonomies2085P0229X Radiology, Pediatric Radiology
(Licence: ID  M-11694)
2085P0229X Radiology, Pediatric Radiology
(Licence: MT  MED-PHYS-LIC-52597)
Enumeration Date2007-02-22
Last Update Date2023-08-23
Business Address
Dr. MARK DOUGLAS EBERT MD
100 N MARIO CAPECCHI DR DEPT OF MEDICAL IMAGING
SALT LAKE CITY, UT 84113-1103
Phone number: 801-875-1586
Mailing Address
Dr. MARK DOUGLAS EBERT MD
100 N MARIO CAPECCHI DR DEPT OF MEDICAL IMAGING
SALT LAKE CITY, UT 84113-1103
Phone number: 801-875-1586