Organization
PHYSICIAN GROUP OF UTAH INC
Active
Other names
STEWARD MEDICAL GROUP OF UTAH
Organization subpart
No
Provider details
NPI number
Authorized official
TYLER K WILKO (CEO)
(801) 984-3293
Entity
Organization
Contact information
Practice address
1580 W ANTELOPE DR STE 290, LAYTON, UT 84041-1179
(801) 776-0880
(801) 773-7399
Mailing address
PO BOX 281415, ATLANTA, GA 30384-1415
(800) 673-1270
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
04/03/2019
Last updated
04/03/2019
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