# UTAH ENDOCRINOLOGY ASSOCIATES PLLC

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

## Provider details

- **NPI number:** 1417121609
- **Authorized official:** SHARON PRESTON (BILLING/CREDENTIALING)
- **Authorized official phone:** (801) 747-2800

## Contact information

- **Practice address:** 470 EAST 3900 SOUTH, \#200, SALT LAKE CITY, UT 84107-2332
- **Practice address phone:** (801) 747-2800
- **Practice address fax:** (801) 747-3022
- **Mailing address:** 470 E 3900 S STE 200, SALT LAKE CITY, UT 84107-2332
- **Mailing address phone:** (801) 747-2800
- **Mailing address fax:** (801) 747-5222

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | 4848079-1205 | UT | Yes |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | NULL | — |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | — |

## Other

- **Enumeration date:** 04/17/2008
- **Last updated:** 04/12/2022