Physician Group of Utah INC
NPI #1760944243 in South Jordan, Utah
Provider Information
- NPI Number
- 1760944243
- Entity Type
- Organization
- Organization Name
- Physician Group of Utah INC
- Primary Specialty
- Specialist
- Enumeration Date
- Apr 3, 2019
- Last Updated
- Apr 3, 2019
Practice Location
- Address
- 406 W SOUTH JORDAN PKWY STE 500
- City
- South Jordan
- State
- Utah
- ZIP Code
- 84095-3945
- Phone
- (801) 984-3418
Authorized Official
- Name
- TYLER K WILKO
- Title
- CEO
- Phone
- (801) 984-3293
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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