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NPI Code Detail

MEDICARE: HEATHER GREGORY MARKS

MEDICARE: HEATHER GREGORY MARKS
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
1171M00000XCase Manager/Care CoordinatorF22-103477UT
2171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1235865585
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEATHER GREGORY MARKS
Provider Business Mailing Address
First Line : 3725 W 4100 S STE 201
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84120-6490
Country : US
Telephone Number : 888-949-4864
Fax Number :
Provider Business Practice Location Address
First Line : 6856 S 700 E
Second Line :
City : MIDVALE
State : UT
Zip : 84047-1361
Country : US
Telephone Number : 888-949-4864
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2022
Last Update Date : 07/29/2025

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Directions to “ HEATHER GREGORY MARKS ” Practice Location

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