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
406 W SOUTH JORDAN PKWY STE 500, SOUTH JORDAN, UT 84095-3945
(801) 984-3418
(801) 984-3479
Mailing address
PO BOX 281415, ATLANTA, GA 30384-1415
(800) 673-1270
(314) 432-9683
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
04/03/2019
Last updated
04/03/2019
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