# EVOLUTIONARY HEALTHCARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851349344
- **Authorized official:** JOHN V. RETTIE (OFFICE MANAGER)
- **Authorized official phone:** (801) 519-2461

## Contact information

- **Practice address:** 461 E 200 S, STE 100, SALT LAKE CITY, UT 84111-2102
- **Practice address phone:** (801) 519-2461
- **Practice address fax:** (801) 596-3785
- **Mailing address:** 461 E 200 S, STE 100, SALT LAKE CITY, UT 84111-2102
- **Mailing address phone:** (801) 519-2461
- **Mailing address fax:** (801) 596-3785

## Taxonomy

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

## Other

- **Enumeration date:** 05/05/2006
- **Last updated:** 02/13/2008