Direct MD Utah LLC

NPI #1124904057 in Midvale, Utah

Provider Information

NPI Number: 1124904057
Entity Type: Organization
Organization Name: Direct MD Utah LLC
Primary Specialty: General Practice
Enumeration Date: Aug 14, 2025
Last Updated: Aug 14, 2025

Practice Location

Address: 7070 S UNION PARK AVE STE 300
City: Midvale
State: Utah
ZIP Code: 84047-6061
Phone: (801) 421-0200

Authorized Official

Name: TRAVIS WINWARD
Title: MANAGER
Phone: (208) 740-9076

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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