UNIVERSITY OF UTAH COMMUNITY PHYSICIANS GROUP NPI 1053715763

NPI Information

  • NPI: 1053715763
  • Provider Name: UNIVERSITY OF UTAH COMMUNITY PHYSICIANS GROUP
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: UUHC - REDSTONE CENTER
  • CLIA Number: 46D0923310
  • Address: 1743 REDSTONE CENTER DR STE 115
    PARK CITY, UT
    ZIP 84098
  • Phone: (435) 658-9200

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NPI Details

UNIVERSITY OF UTAH COMMUNITY PHYSICIANS GROUP is a family medicine in Park City, UT. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. UNIVERSITY OF UTAH COMMUNITY PHYSICIANS GROUP NPI is 1053715763. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Uuhc - Redstone Center.

The provider's business location address is:

1743 REDSTONE CENTER DR STE 115
PARK CITY, UT
ZIP 84098-930
Phone: (435) 658-9200

The provider's authorized official is Sean Mulvihill .
The authorized official title is Chief Medical Officer and has the following contact phone number (801) 587-6336.

The CLIA number assigned to this NPI record is 46D0923310 - community clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 10/9/2014 and was last updated on 10/9/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineYes

What is NPI?

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This page was last updated on: 3/30/2025

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