| University Of Utah Community Physicians Group | |
|
220 Millpond Ste 100 Stansbury Pk UT 84074-9760 | |
| (435) 843-3000 | |
| Not Available |
| Full Name | University Of Utah Community Physicians Group |
|---|---|
| Speciality | Family Medicine |
| Location | 220 Millpond Ste 100, Stansbury Pk, Utah |
| Authorized Official Name and Position | Sean Mulvihill (CHIEF MEDICAL OFFICER) |
| Authorized Official Contact | 8015876336 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| University Of Utah Community Physicians Group Po Box 510708 Salt Lake City UT 84151-0708 Ph: (801) 213-3900 | University Of Utah Community Physicians Group 220 Millpond Ste 100 Stansbury Pk UT 84074-9760 Ph: (435) 843-3000 |
| NPI Number | 1497159107 |
|---|---|
| Provider Enumeration Date | 10/09/2014 |
| Last Update Date | 10/09/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497159107 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Mmg Stansbury Family Practice Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 576 E Highway 138 Ste 310, Stansbury Pk, UT 84074 Phone: 801-456-2333 Fax: 801-456-2330 |