METRODORA CLINIC PLLC NPI 1124762281

NPI Information

  • NPI: 1124762281
  • Provider Name: METRODORA CLINIC, PLLC
  • Classification: Clinic/Center - 261QM1300X
  • Specialization: Multi-Specialty
  • Entity Type: Organization
  • Address: 3535 S MARKET ST
    WEST VALLEY CITY, UT
    ZIP 84119
  • Phone: (385) 430-1430

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NPI Details

METRODORA CLINIC, PLLC is a multi-specialty clinic center in West Valley City, UT. METRODORA CLINIC, PLLC NPI is 1124762281. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3535 S MARKET ST
WEST VALLEY CITY, UT
ZIP 84119-635
Phone: (385) 430-1430

The provider's authorized official is Ashley Bitner .
The authorized official title is Medical Staff Office and has the following contact phone number (385) 430-1430.

The enumeration date for this NPI number is 4/25/2022 and was last updated on 5/2/2024.

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
1133N00000XNutritionistNo
2163W00000XRegistered NurseNo
3170100000XMedical Genetics, Ph.D. Medical GeneticsNo
4207K00000XAllergy & ImmunologyNo
5207Q00000XFamily MedicineNo
6207RG0100XInternal MedicineGastroenterologyNo
7207ZC0006XPathologyClinical PathologyNo
82084N0400XPsychiatry & NeurologyNeurologyNo
9261QM1300XClinic/CenterMulti-SpecialtyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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