LANDMARK MEDICAL OF UTAH PC NPI 1295455236

NPI Information

NPI: 1295455236
Provider Name: LANDMARK MEDICAL OF UTAH, PC
Classification: General Practice - 208D00000X
Entity Type: Organization
CLIA Number: 46D2283540
Address: 12921 S VISTA STATION BLVD
DRAPER, UT
ZIP 84020
Phone: (657) 400-5180

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NPI Details

LANDMARK MEDICAL OF UTAH, PC is a general practice in Draper, UT. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee LANDMARK MEDICAL OF UTAH, PC NPI is 1295455236. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

12921 S VISTA STATION BLVD
DRAPER, UT
ZIP 84020-376
Phone: (657) 400-5180

The provider's authorized official is Christopher Dennis .
The authorized official title is Chief Medical Officer and has the following contact phone number (657) 400-5180.

The CLIA number assigned to this NPI record is 46D2283540 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/30/2022 and was last updated on 1/30/2024.

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
1	208D00000X	General Practice				Yes

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: 3/30/2025

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