Organization
UTAH PROVIDER GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATHAN UDY (MANAGER)
(435) 515-0088
Entity
Organization
Contact information
Practice address
1506 S SILICON WAY STE 2B, SAINT GEORGE, UT 84770-7153
(888) 920-7526
Mailing address
1506 S SILICON WAY STE 2B, SAINT GEORGE, UT 84770-7153
(888) 920-7526
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
04/30/2024
Last updated
05/01/2024
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