WASATCH MEDICAL NPI 1275971640

NPI Information

  • NPI: 1275971640
  • Provider Name: WASATCH MEDICAL
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 6770 S 900 E
    STE 103
    MIDVALE, UT
    ZIP 84047
  • Phone: (801) 647-8888

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NPI Details

WASATCH MEDICAL is a specialist in Midvale, UT. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. WASATCH MEDICAL NPI is 1275971640. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6770 S 900 E
STE 103
MIDVALE, UT
ZIP 84047-709
Phone: (801) 647-8888
Fax: (801) 561-5857

The provider's authorized official is Mary D Scott .
The authorized official title is Office Manager and has the following contact phone number (801) 647-8888.

The enumeration date for this NPI number is 6/7/2013 and was last updated on 6/7/2013.

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
1174400000XSpecialist168632-1205UTAHYes

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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