Direct MD Utah II LLC

NPI #1629939285 in Midvale, Utah

Provider Information

NPI Number: 1629939285
Entity Type: Organization
Organization Name: Direct MD Utah II LLC
Primary Specialty: General Practice
Enumeration Date: Nov 21, 2025
Last Updated: Nov 21, 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: PRESIDENT
Phone: (208) 740-9076

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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