# UNIVERSITY OF UTAH COMMUNITY PHYSICIANS GROUP

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** UNIVERSITY OF UTAH COMMUNITY PHYSICIANS GROUP
- **Other names:** University Sugarhouse Family Health Clinic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1730583444
- **Legal business name:** UNIVERSITY OF UTAH COMMUNITY PHYSICIANS GROUP
- **Authorized official:** SEAN MULVIHILL MD (CHIEF MEDICAL OFFICER)
- **Authorized official phone:** (801) 587-6336

## Contact information

- **Practice address:** 1138 E WILMINGTON AVE, SALT LAKE CITY, UT 84106-2819
- **Practice address phone:** (801) 581-2121
- **Mailing address:** PO BOX 510708, SALT LAKE CITY, UT 84151-0708
- **Mailing address phone:** (801) 587-6336

## Taxonomy

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

## Other

- **Enumeration date:** 10/09/2014
- **Last updated:** 10/09/2014