# SHADOW MOUNTAIN FAMILY PHYSICIANS

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

## Provider details

- **NPI number:** 1417125139
- **Authorized official:** DR. JOSEPH KASPER MD (PRESIDENT)
- **Authorized official phone:** (801) 282-5952

## Contact information

- **Practice address:** 7800 SOUTH 3855 WEST, 100, WEST JORDAN, UT 84088
- **Practice address phone:** (801) 282-5952
- **Practice address fax:** (801) 282-5951
- **Mailing address:** 7800 S 3855 W, \#100, WEST JORDAN, UT 84084
- **Mailing address phone:** (801) 282-5952
- **Mailing address fax:** (801) 282-5951

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 346744-1205 | UT | Yes |

## Other

- **Enumeration date:** 02/15/2008
- **Last updated:** 04/01/2008