Organization
ATLAS MEDICAL UTAH LLC
Active
Other names
Sentry Medical
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY CHAD MANGUM (OWNER)
(435) 383-6120
Entity
Organization
Contact information
Practice address
258 S MAIN ST STE 210, LOGAN, UT 84321-5768
(435) 383-6120
(435) 557-8003
Mailing address
PO BOX 86, PROVIDENCE, UT 84332-0086
(435) 383-6120
(435) 557-8003
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
02/19/2019
Last updated
09/26/2025
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