IndividualActive
Mark Shockey, MD
NPI 1902839657 · Pulmonary Disease Physician · Salt Lake City, UT
Provider details
- NPI number
- 1902839657
- Entity type
- Individual
- Primary specialty
- Pulmonary Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 163879-1205 (UT)
Practice location
1220 E 3900 S Ste 2c
Salt Lake City, UT 84124-1319
Phone: (801) 263-2482
Fax: (801) 263-2424
Mailing address
1220 E 3900 S Ste 2c
Salt Lake City, UT 84124-1319
Registry dates
- Enumerated
- 2006-07-08
- Last updated
- 2007-10-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.