# MOBILE DOCS UTAH, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MOBILE DOCS LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1730854233
- **Legal business name:** MOBILE DOCS LLC
- **Authorized official:** ROBERT BUCKHANNON (MEMBER)
- **Authorized official phone:** (310) 654-4155

## Contact information

- **Practice address:** 881 W BAXTER DR STE 100, SOUTH JORDAN, UT 84095-8506
- **Practice address phone:** (310) 654-4155
- **Mailing address:** 881 W BAXTER DR STE 100, SOUTH JORDAN, UT 84095-8506

## Taxonomy

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

## Other

- **Enumeration date:** 08/16/2021
- **Last updated:** 08/19/2021