Organization
DIRECT MD UTAH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRAVIS WINWARD (MANAGER)
(208) 740-9076
Entity
Organization
Contact information
Practice address
7070 S UNION PARK AVE STE 300, MIDVALE, UT 84047-6061
(801) 421-0200
Mailing address
7070 S UNION PARK AVE STE 300, MIDVALE, UT 84047-6061
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
08/14/2025
Last updated
08/14/2025
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