UTAH MODERN MEDICAL LLC NPI 1689310948

NPI Information

UTAH MODERN MEDICAL LLC 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 UTAH MODERN MEDICAL LLC NPI is 1689310948. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

14839 S CANYON POINT ROAD
DRAPER, UT
ZIP 84020-489
Phone: (385) 414-2158
Fax: (888) 823-5887

The provider's authorized official is Dave Bullock .
The authorized official title is Owner and has the following contact phone number (385) 414-2158.

The enumeration date for this NPI number is 5/10/2022 and was last updated on 7/7/2022.

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:

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