| Wasatch Medicine LLC | |
|
1776 N Highway 40, Ste 101 Heber City UT 84032 | |
| (435) 294-2664 | |
| (801) 274-0049 |
| Full Name | Wasatch Medicine LLC |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1776 N Highway 40, Ste 101, Heber City, Utah |
| Authorized Official Name and Position | Benjamin Reed Fogg (CEO) |
| Authorized Official Contact | 8017122535 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wasatch Medicine LLC 1776 N Highway 40, Ste 101 Heber City UT 84032 Ph: (435) 294-2664 | Wasatch Medicine LLC 1776 N Highway 40, Ste 101 Heber City UT 84032 Ph: (435) 294-2664 |
| NPI Number | 1386404457 |
|---|---|
| Provider Enumeration Date | 03/19/2024 |
| Last Update Date | 10/07/2025 |
| Certification Date | 10/07/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386404457 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | () | Primary |
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