Organization · Type 2 NPI
Premise Health of Utah Medical PC
Multi-Specialty Clinic/Center · West Valley City, UT
NPI number
1093488926
Active
Practice location
2300 S 2300 W Ste B
West Valley City, UT 84119-2022
Mailing address
5500 Maryland Way
Brentwood, TN 37027-7048
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Multi-Specialty Clinic/Center Primary | 261QM1300X | None listed |
Multi-Specialty Clinic/Center: Definition to come...
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About NPI 1093488926
Premise Health of Utah Medical PC's National Provider Identifier is 1093488926, issued on Jul 27, 2021. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in West Valley City, UT. The record was last updated on Feb 2, 2026.