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Organization

UNIVERSITY OF UTAH COMMUNITY PHYSICIANS GROUP

Active
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Organization

UNIVERSITY OF UTAH COMMUNITY PHYSICIANS GROUP

Active
Parent organization
UNIVERSITY OF UTAH COMMUNITY PHYSICIANS GROUP
Other names
UUHC - Davis Center
Organization subpart
Yes

Provider details

NPI number
Legal business name
UNIVERSITY OF UTAH COMMUNITY PHYSICIANS GROUP
Authorized official
SEAN MULVIHILL MD (CHIEF MEDICAL OFFICER)
(801) 587-6336
Entity
Organization

Contact information

Practice address
1492 W ANTELOPE DR STE 150, LAYTON, UT 84041-1137
(801) 776-7804
Mailing address
PO BOX 510708, SALT LAKE CITY, UT 84151-0708
(801) 213-3900

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—

Other

Enumeration date
10/09/2014
Last updated
10/09/2014
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