# WASATCH VASCULAR CENTER LLC

> 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:** 1558905398
- **Authorized official:** GREGG MILLER MD (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (610) 644-8900

## Contact information

- **Practice address:** 3702 S STATE ST STE 103, SALT LAKE CITY, UT 84115-5096
- **Practice address phone:** (801) 281-0027
- **Practice address fax:** (801) 262-1533
- **Mailing address:** 40 VALLEY STREAM PKWY STE 100, MALVERN, PA 19355-1407
- **Mailing address phone:** (610) 644-8900

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | NULL | Yes |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/05/2019
- **Last updated:** 02/10/2023