# WILLOW GROVE MEDICAL GROUP PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1487584017
- **Authorized official:** ERIC STEVENS DO (MANAGING MEMBER)
- **Authorized official phone:** (720) 383-3555

## Contact information

- **Practice address:** 15073 S ROUND TREE LN, DRAPER, UT 84020-5509
- **Practice address phone:** (720) 383-3555
- **Mailing address:** 152 W 620 S, OREM, UT 84058-3125
- **Mailing address phone:** (720) 383-3555

## Taxonomy

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

## Other

- **Enumeration date:** 05/25/2026
- **Last updated:** 05/25/2026