NPI 1316160534

Evergreen Medical, INC.

Organisation Physical Medicine & Rehabilitation Physician Draper, UT

Practice location

Address: 96 E Kimballs Ln STE 304, Draper, UT 84020-5021
Phone: (801) 676-7627
Fax: (801) 676-7629
Mailing address: PO Box 900280, Sandy, UT 84090-0280

Authorised official

Name: Marci a Merrill
Title: Billing Manager
Phone: (801) 676-7627

Registered specialties (2)

Physical Medicine & Rehabilitation Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208100000X

Other Physical Medicine & Rehabilitation providers in Utah →

Interventional Pain Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 208VP0014X

Other Pain Medicine providers in Utah →

Registry record

NPI: 1316160534
Entity type: Organization
NPI issued: 10 Apr 2007
Record last updated: 24 Jul 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.