Organization · Type 2 NPI

Sundara Medical LLC

Multi-Specialty Clinic/Center · Bluffdale, UT

NPI number 1720825573 Active

Practice location

14629 S Porter Rockwell Blvd
Bluffdale, UT 84065

Fax (801) 332-9577

Specialties and licenses

TaxonomyCodeLicense
Multi-Specialty Clinic/Center Primary 261QM1300XNone listed
Family Nurse Practitioner 363LF0000XNone listed

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About NPI 1720825573

Sundara Medical LLC's National Provider Identifier is 1720825573, issued on Jul 10, 2024. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Bluffdale, UT. The record was last updated on May 28, 2025.