IndividualActive
Mark Kryskow, DO
NPI 1407237092 · Surgical Critical Care Physician · Salt Lake City, UT
Provider details
- NPI number
- 1407237092
- Entity type
- Individual
- Primary specialty
- Surgical Critical Care PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- 11634089-1204 (UT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
30 N 1900 E Rm 3c344
Salt Lake City, UT 84132-0002
Phone: (801) 585-1618
Approximate (ZIP-level) locationGet directions
Mailing address
30 N 1900 E Rm 3c344
Salt Lake City, UT 84132-0002
Additional practice locations (1)
- 725 North StDept of SurgeryPittsfield, MA 01201-4109Phone: (303) 819-7645
Registry dates
- Enumerated
- 2015-06-09
- Last updated
- 2020-06-11
- Certified
- 2020-06-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.