Physician Group of Utah INC

NPI #1982223848 in Rock Springs, Wyoming

Provider Information

NPI Number
1982223848
Entity Type
Organization
Organization Name
Physician Group of Utah INC
Primary Specialty
Internal Medicine - Cardiovascular Disease
Enumeration Date
Apr 10, 2020
Last Updated
Apr 10, 2020

Practice Location

Address
1577 DEWAR DR STE 8
State
Wyoming
ZIP Code
82901-5716
Phone
(307) 362-0707

Authorized Official

Name
CHRISTINE M. ROGERS
Title
MANAGER/CMS DELEGATED OFFICIAL
Phone
(617) 562-5628

Specialties & Taxonomy Codes

Specialty
Internal Medicine - Cardiovascular DiseaseCardiovascular Disease

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