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UTAH GASTROENTEROLOGY LLC NPI 1457393761


NPI Information

NPI: 1457393761
Provider Name: UTAH GASTROENTEROLOGY LLC

Former Legal Business Name: FKA MOUNTAIN WEST GASTROENTEROLOGY, P.C.

Classification: Internal Medicine - 207RG0100X
Entity Type: Organization

Specialization: Gastroenterology

Address:
620 EAST MEDICAL DRIVE
SUITE 205
BOUNTIFUL, UT
ZIP 84010
Phone: (801) 298-0057
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UTAH GASTROENTEROLOGY LLC is a gastroenterology internal medicine in Bountiful, UT. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. UTAH GASTROENTEROLOGY LLC NPI is 1457393761. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Former Legal Business Name Is Fka Mountain West Gastroenterology, P.c..

The provider's business location address is:

620 EAST MEDICAL DRIVE
SUITE 205
BOUNTIFUL, UT
ZIP 84010-084
Phone: (801) 298-0057
Fax: (801) 298-9765

The provider's authorized official is Christine Morris .
The authorized official title is Corporate Administrator and has the following contact phone number (801) 944-3191.

The enumeration date for this NPI number is 6/12/2006 and was last updated on 7/22/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RG0100XInternal MedicineGastroenterologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1CD3562OTHERUTAHRAILROAD MEDICARE PIN

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: 4/28/2024

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