# DESERET MEDICAL CLINIC

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

## Provider details

- **NPI number:** 1275559148
- **Authorized official:** HEATH M SCOTT PAC (OWNER)
- **Authorized official phone:** (801) 966-4600

## Contact information

- **Practice address:** 3856 W 5400 S, SUITE 200, TAYLORSVILLE, UT 84118-3579
- **Practice address phone:** (801) 966-4600
- **Practice address fax:** (801) 966-3338
- **Mailing address:** PO BOX 307, BOUNTIFUL, UT 84011-0307
- **Mailing address phone:** (888) 700-6907
- **Mailing address fax:** (801) 294-6917

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363AM0700X | Medical Physician Assistant | 5094903-1206 | UT | Yes |

## Other

- **Enumeration date:** 07/14/2006
- **Last updated:** 08/22/2020