Organization · Type 2 NPI

Physician Group of Utah Inc

Specialist · South Jordan, UT

NPI number 1760944243 Active

Practice location

406 W South Jordan Pkwy Ste 500
South Jordan, UT 84095-3945

Fax (801) 984-3479

Mailing address

PO Box 281415
Atlanta, GA 30384-1415

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1760944243

Physician Group of Utah Inc's National Provider Identifier is 1760944243, issued on Apr 3, 2019. The primary taxonomy on file is Specialist (174400000X), and the practice location is in South Jordan, UT. The record was last updated on Apr 3, 2019.