Organization · Type 2 NPI
Health Diversified - Medical Group of Utah
Multi-Specialty Clinic/Center · Holladay, UT
NPI number
1508518085
Active
Practice location
4544 S Holladay Blvd
Holladay, UT 84117-4404
Fax (385) 213-0356
Mailing address
5986 S Tolcate Woods Ln
Holladay, UT 84121-1536
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counseling Psychologist | 103TC1900X | None listed |
| Clinical Social Worker | 1041C0700X | None listed |
| Registered Dietitian | 133V00000X | None listed |
| Emergency Medicine Physician | 207P00000X | None listed |
| Family Medicine Physician | 207Q00000X | None listed |
| Internal Medicine Physician | 207R00000X | None listed |
| Clinical Genetics (M.D.) Physician | 207SG0201X | None listed |
| Obstetrics & Gynecology Physician | 207V00000X | None listed |
| Pediatrics Physician | 208000000X | None listed |
| Physical Therapist | 225100000X | None listed |
| Case Management Agency | 251B00000X | None listed |
| Corporate Health Clinic/Center | 261QC1800X | None listed |
| Multi-Specialty Clinic/Center Primary | 261QM1300X | None listed |
| Physician Assistant | 363A00000X | None listed |
| Nurse Practitioner | 363L00000X | None listed |
Multi-Specialty Clinic/Center: Definition to come...
Another provider at this address
Other multi-specialty clinic/center providers in Holladay
About NPI 1508518085
Health Diversified - Medical Group of Utah's National Provider Identifier is 1508518085, issued on Jan 25, 2022. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Holladay, UT. The record was last updated on Mar 6, 2026.