# ATLAS MEDICAL UTAH LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Sentry Medical
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568928133
- **Authorized official:** GREGORY CHAD MANGUM (OWNER)
- **Authorized official phone:** (435) 383-6120

## Contact information

- **Practice address:** 258 S MAIN ST STE 210, LOGAN, UT 84321-5768
- **Practice address phone:** (435) 383-6120
- **Practice address fax:** (435) 557-8003
- **Mailing address:** PO BOX 86, PROVIDENCE, UT 84332-0086
- **Mailing address phone:** (435) 383-6120
- **Mailing address fax:** (435) 557-8003

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/19/2019
- **Last updated:** 09/26/2025