Physician Group of Utah INC

NPI #1033671540 in Layton, Utah

Provider Information

NPI Number: 1033671540
Entity Type: Organization
Organization Name: Physician Group of Utah INC
Primary Specialty: Obstetrics & Gynecology
Enumeration Date: Apr 3, 2019
Last Updated: Apr 3, 2019

Practice Location

Address: 1580 W ANTELOPE DR STE 290
City: Layton
State: Utah
ZIP Code: 84041-1179
Phone: (801) 776-0880

Authorized Official

Name: TYLER K WILKO
Title: CEO
Phone: (801) 984-3293

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Obstetrics & Gynecology	207V00000X	Primary

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