Organization · Type 2 NPI
Presidium Medical Group PLLC
Adult Medicine Physician · Salt Lake City, UT
NPI number
1689461774
Active
Practice location
32 E Exchange Pl Fl 6
Salt Lake City, UT 84111-2704
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Medicine Physician Primary | 207QA0505X | None listed |
Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.
About NPI 1689461774
Presidium Medical Group PLLC's National Provider Identifier is 1689461774, issued on Apr 22, 2025. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Salt Lake City, UT. The record was last updated on Apr 22, 2025.