# NUMED CLINIC

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

## Provider details

- **NPI number:** 1487375473
- **Authorized official:** ENKHYOUN NERGUI DNP (OWNER)
- **Authorized official phone:** (801) 830-4305

## Contact information

- **Practice address:** 1429 S STATE ST, OREM, UT 84097-7703
- **Practice address phone:** (801) 830-4305
- **Mailing address:** 1429 S STATE ST, OREM, UT 84097-7703
- **Mailing address phone:** (801) 830-4305

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 261Q00000X | Clinic/Center | — | NULL | — |
| 261QC1500X | Community Health Clinic/Center | — | NULL | — |
| 261QH0100X | Health Service Clinic/Center | — | NULL | — |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 09/07/2022
- **Last updated:** 11/06/2022
