# PHYSICIANS MEDICAL GROUP

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

## Provider details

- **NPI number:** 1972078723
- **Authorized official:** JENNY SIMBARI (BILLER)
- **Authorized official phone:** (385) 800-5015

## Contact information

- **Practice address:** 4624 S HOLLADAY BLVD STE 202, SALT LAKE CITY, UT 84117-7168
- **Practice address phone:** (385) 800-5015
- **Practice address fax:** (801) 277-6678
- **Mailing address:** 4624 S HOLLADAY BLVD STE 202, SALT LAKE CITY, UT 84117-7168
- **Mailing address phone:** (801) 810-2999
- **Mailing address fax:** (801) 407-0747

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | NULL | Yes |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/08/2018
- **Last updated:** 12/26/2025