# VAMOS HEALTH UT

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053174862
- **Authorized official:** MS. NICOLE S BRIGHT (COO)
- **Authorized official phone:** (502) 333-2281

## Contact information

- **Practice address:** 3725 W 4100 S STE 107, WEST VALLEY CITY, UT 84120-5417
- **Practice address phone:** (502) 333-2281
- **Mailing address:** 11338 S LAKE RUN RD, SOUTH JORDAN, UT 84009-8706
- **Mailing address phone:** (502) 333-2281

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/05/2024
- **Last updated:** 02/05/2024
