# COE MEDICAL INTERMOUNTAIN PLLC

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

## Provider details

- **NPI number:** 1467097071
- **Authorized official:** LAURA GIVENS MD (OWNER)
- **Authorized official phone:** (903) 806-4181

## Contact information

- **Practice address:** 7101 N MESA STREET \#365, SALT LAKE CITY, UT 84101-1603
- **Practice address phone:** (830) 267-4575
- **Practice address fax:** (830) 267-4575
- **Mailing address:** 215 W BANDERA RD STE 114-440, BOERNE, TX 78006-3571
- **Mailing address phone:** (903) 806-4181
- **Mailing address fax:** (830) 206-6776

## Taxonomy

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

## Other

- **Enumeration date:** 11/07/2019
- **Last updated:** 09/02/2026