Organization · Type 2 NPI
Deseret Medical Clinic
Medical Physician Assistant · Taylorsville, UT
NPI number
1275559148
Active
Practice location
3856 W 5400 S, Suite 200
Taylorsville, UT 84118-3579
Fax (801) 966-3338
Mailing address
PO Box 307
Bountiful, UT 84011-0307
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 5094903-1206 (UT) |
Medical Physician Assistant: Definition to come...
3 other providers at this address
About NPI 1275559148
Deseret Medical Clinic's National Provider Identifier is 1275559148, issued on Jul 14, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Taylorsville, UT. The record was last updated on Aug 22, 2020.