Organization · Type 2 NPI

Premise Health of Utah Medical PC

Multi-Specialty Clinic/Center · Spanish Fork, UT

NPI number 1184397002 Active

Practice location

135 W 300 S
Spanish Fork, UT 84660-2014

Mailing address

5500 Maryland Way
Brentwood, TN 37027-7048

Specialties and licenses

TaxonomyCodeLicense
Multi-Specialty Clinic/Center Primary 261QM1300XNone listed

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About NPI 1184397002

Premise Health of Utah Medical PC's National Provider Identifier is 1184397002, issued on Jul 27, 2021. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Spanish Fork, UT. The record was last updated on Feb 3, 2026.