Organization
UNIVERSITY OF UTAH COMMUNITY PHYSICIANS GROUP
Active
Parent organization
UNIVERSITY OF UTAH COMMUNITY PHYSICIANS GROUP
Other names
Madsen Health Center Family Practice Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
UNIVERSITY OF UTAH COMMUNITY PHYSICIANS GROUP
Authorized official
SEAN MULVIHILL MD (CHIEF MEDICAL OFFICER)
(801) 587-6336
Entity
Organization
Contact information
Practice address
555 FOOTHILL DR, STE 600, SALT LAKE CITY, UT 84112-1106
(801) 587-6336
Mailing address
PO BOX 510708, SALT LAKE CITY, UT 84151-0708
(801) 213-3900
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/09/2014
Last updated
10/09/2014
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