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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
5979 S 300 E, MURRAY, UT 84107-7364
(801) 263-2370
(801) 265-1200
Mailing address
PO BOX 281415, ATLANTA, GA 30384-1415
(800) 673-1270
(314) 432-9683

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
207RI0011X
Interventional Cardiology Physician
207RP1001X
Pulmonary Disease Physician
207RS0012X
Sleep Medicine (Internal Medicine) Physician

Other

Enumeration date
04/03/2019
Last updated
04/03/2019
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