Organization · Type 2 NPI
Mod-Doc Inc
Primary Care Nurse Practitioner · Kaysville, UT
NPI number
1801627096
Active
Practice location
1188 W Sportsplex Dr Ste 102
Kaysville, UT 84037-6816
Fax (385) 325-6055
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | None listed |
Primary Care Nurse Practitioner: Definition to come...
Another provider at this address
About NPI 1801627096
Mod-Doc Inc's National Provider Identifier is 1801627096, issued on Aug 9, 2024. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Kaysville, UT. The record was last updated on Apr 27, 2026.