MEDICARE: HEALTHQUEST OF PARK CITY, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1679771422
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTHQUEST OF PARK CITY, INC.

Provider Business Mailing Address
First Line	:	1901 PROSPECTOR AVE STE 10
Second Line	:
City	:	PARK CITY
State	:	UT
Zip	:	84060-7208
Country	:	US
Telephone Number	:	435-655-8181
Fax Number	:	435-649-4346

Provider Business Practice Location Address
First Line	:	1901 PROSPECTOR AVE STE 10
Second Line	:
City	:	PARK CITY
State	:	UT
Zip	:	84060-7208
Country	:	US
Telephone Number	:	435-655-8181
Fax Number	:	435-649-4346

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. MATTHEW IAN ZARIT
Credential	:	D.C.
Telephone Number	:	435-655-8181

Provider Enumeration Date	:	07/03/2007
Last Update Date	:	08/22/2020

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