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Organization
ATLAS MEDICAL UTAH LLC
Active
Organization
ATLAS MEDICAL UTAH LLC
Active
Other names
Sentry Medical
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY CHAD MANGUM (OWNER)
(435) 383-6120
Entity
Organization
Contact information
Practice address
258 S MAIN ST STE 210, LOGAN, UT 84321-5768
(435) 383-6120
(435) 557-8003
Mailing address
PO BOX 86, PROVIDENCE, UT 84332-0086
(435) 383-6120
(435) 557-8003
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
02/19/2019
Last updated
09/26/2025
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