Organization
SUNDARA MEDICAL LLC
Active
Other names
Sundara MHS
Organization subpart
No
Provider details
NPI number
Authorized official
TAMARA BROADHEAD DNP (DNP)
(801) 410-1100
Entity
Organization
Contact information
Practice address
14629 S PORTER ROCKWELL BLVD, BLUFFDALE, UT 84065
(801) 410-1100
(801) 332-9577
Mailing address
14629 S PORTER ROCKWELL BLVD, BLUFFDALE, UT 84065
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
07/10/2024
Last updated
05/28/2025
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