Organization
DENALI SPECIALTY CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JACQUEE R STEPHENS (DIRECTOR OF OPERATIONS)
(801) 857-9923
Entity
Organization
Contact information
Practice address
415 MEDICAL DR STE B200, BOUNTIFUL, UT 84010-4986
(801) 389-4697
Mailing address
415 MEDICAL DR STE B200, BOUNTIFUL, UT 84010-4986
(801) 389-4697
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
10/28/2025
Last updated
10/28/2025
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