Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MAZZOLA DASCOMB P.C.
Active OrganizationMAZZOLA DASCOMB P.C. is a Sports Medicine (IM) organization located in HOLLADAY, Utah. NPI 1306107289 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (IM) · HOLLADAY, UT
Registration Details
- NPI Number
- 1306107289
- Provider Type
- Organization
- NPI Issued
- Jun 6, 2012 (14.227872890587 yrs)
- Last Updated
- Jun 6, 2012
- Licenses
-
5860780-1205 (UT)5860780-1205 (UT)5860780-8905 (LA)5860780-1205 (UT)
Practice Information
- Address
-
4590 CLEARVIEW STHOLLADAY, UT, 841174504Browse UT providers · Browse ZIP 84117
- Phone
- 8012723799
- Primary Specialty
-
Sports Medicine (IM)
207RS0012X
- Additional Specialty
- Critical Care Medicine
- Additional Specialty
- Pulmonary Disease
- Additional Specialty
- Sports Medicine (IM)
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.