# PREMIER FAMILY MEDICAL - CITY CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PREMIER FAMILY MEDICAL
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1649160235
- **Legal business name:** PREMIER FAMILY MEDICAL
- **Authorized official:** HEATHER GUYMON (CREDENTIALING SPECIALIST)
- **Authorized official phone:** (801) 769-2571

## Contact information

- **Practice address:** 4317 N PONY EXPRESS PKWY, STE 150, EAGLE MOUNTAIN, UT 84005-1231
- **Practice address phone:** (801) 788-4779
- **Practice address fax:** (801) 784-6612
- **Mailing address:** 275 W 200 N, LINDON, UT 84042-5009
- **Mailing address phone:** (801) 796-1333
- **Mailing address fax:** (801) 796-0625

## Taxonomy

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

## Other

- **Enumeration date:** 07/07/2025
- **Last updated:** 07/07/2025