Wasatch G O D Medical LLC
NPI #1114897345 in South Salt Lake, Utah
Provider Information
- NPI Number
- 1114897345
- Entity Type
- Organization
- Organization Name
- Wasatch G O D Medical LLC
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Nov 11, 2025
- Last Updated
- Nov 11, 2025
Practice Location
- Address
- 2480 S MAIN ST STE 108
- City
- South Salt Lake
- State
- Utah
- ZIP Code
- 84115-5002
- Phone
- (385) 612-1794
Authorized Official
- Name
- TYREE KNIGHT
- Title
- MANAGER
- Phone
- (385) 612-1794
Specialties & Taxonomy Codes
| Specialty |
|---|
| General Practice |
| Counselor - Mental Health — Mental Health |
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