| Sundara Medical Llc | |
|
14629 S Porter Rockwell Blvd Bluffdale UT 84065 | |
| (801) 410-1100 | |
| (801) 332-9577 |
| Full Name | Sundara Medical Llc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 14629 S Porter Rockwell Blvd, Bluffdale, Utah |
| Authorized Official Name and Position | Tamara Broadhead (DNP) |
| Authorized Official Contact | 8014101100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sundara Medical Llc 14629 S Porter Rockwell Blvd Bluffdale UT 84065 Ph: () - | Sundara Medical Llc 14629 S Porter Rockwell Blvd Bluffdale UT 84065 Ph: (801) 410-1100 |
| NPI Number | 1720825573 |
|---|---|
| Provider Enumeration Date | 07/10/2024 |
| Last Update Date | 05/28/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720825573 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
Illuminate Holdings Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14884 S Heritagecrest Way Ste D, Bluffdale, UT 84065 Phone: 801-793-0620 | |
Families First Pediatrics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13825 S Redwood Road, Suite 100, Bluffdale, UT 84065 Phone: 801-254-9700 Fax: 801-254-9755 | |
Sundara Mhs Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14629 S Porter Rockwell Blvd, Bluffdale, UT 84065 Phone: 801-410-1100 Fax: 801-332-9577 |