# PHYSICIAN GROUP OF UTAH INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** STEWARD MEDICAL GROUP OF UTAH
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033671540
- **Authorized official:** TYLER K WILKO (CEO)
- **Authorized official phone:** (801) 984-3293

## Contact information

- **Practice address:** 1580 W ANTELOPE DR STE 290, LAYTON, UT 84041-1179
- **Practice address phone:** (801) 776-0880
- **Practice address fax:** (801) 773-7399
- **Mailing address:** PO BOX 281415, ATLANTA, GA 30384-1415
- **Mailing address phone:** (800) 673-1270

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/03/2019
- **Last updated:** 04/03/2019