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Organization
PHYSICIAN GROUP OF UTAH INC
Active
Organization
PHYSICIAN GROUP OF UTAH INC
Active
Other names
STEWARD MEDICAL GROUP OF UTAH
Organization subpart
No
Provider details
NPI number
Authorized official
TYLER K WILKO (CEO)
(801) 984-3293
Entity
Organization
Contact information
Practice address
1580 W ANTELOPE DR STE 290, LAYTON, UT 84041-1179
(801) 776-0880
(801) 773-7399
Mailing address
PO BOX 281415, ATLANTA, GA 30384-1415
(800) 673-1270
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
04/03/2019
Last updated
04/03/2019
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