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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MARK DOUGLAS EBERT, MD

Active

DR. MARK DOUGLAS EBERT, MD is a Pediatric Radiology healthcare provider located in SALT LAKE CITY, Utah. NPI 1609901610 is currently active in the NPPES registry. Verify at CMS.

Pediatric Radiology · SALT LAKE CITY, UT

Registration Details

NPI Number
1609901610
Provider Type
Individual
Gender
Male
NPI Issued
Feb 22, 2007 (19.496452675605 yrs)
Last Updated
Aug 23, 2023
Licenses
M-11694 (ID)
MED-PHYS-LIC-52597 (MT)
8209945-1205 (UT)

Practice Information

Address
100 N MARIO CAPECCHI DR
DEPT OF MEDICAL IMAGING
SALT LAKE CITY, UT, 841131103
Browse UT providers · Browse ZIP 84113
Phone
8018751586
Primary Specialty
Pediatric Radiology
2085P0229X
Additional Specialty
Pediatric Radiology
Additional Specialty
Pediatric Radiology

Other Pediatric Radiology Providers in SALT LAKE CITY, UT

Name Credential NPI
DAVID M DANSIE M.D. 1043296403
DR. MICHAEL E KATZ MD 1861463390
KARIN L. HOEG MD 1215940465
JOHN W RAMPTON M.D. 1578576773
MR. WILLIAM D. WINTERS MD 1720198716
DR. JEFFREY S PRINCE MD 1013027085
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.