University of Utah Community Physicians Group

NPI #1528462231 in Midvale, Utah

Provider Information

NPI Number: 1528462231
Entity Type: Organization
Organization Name: University of Utah Community Physicians Group
Subpart: Yes (part of a larger organization)
Parent Organization: UNIVERSITY OF UTAH COMMUNITY PHYSICIANS GROUP
Primary Specialty: Family Medicine
Enumeration Date: Oct 9, 2014
Last Updated: Oct 9, 2014

Practice Location

Address: 7495 S STATE ST
City: Midvale
State: Utah
ZIP Code: 84047-2013
Phone: (801) 213-9400

Authorized Official

Name: SEAN MULVIHILL, MD
Title: CHIEF MEDICAL OFFICER
Phone: (801) 587-6336

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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