Organization
PHYSICIANS MEDICAL GROUP
Active
Other names
Evolve Medical
Organization subpart
No
Provider details
NPI number
Authorized official
JENNY SIMBARI (BILLER)
(385) 800-5015
Entity
Organization
Contact information
Practice address
4624 S HOLLADAY BLVD STE 202, SALT LAKE CITY, UT 84117-7168
(385) 800-5015
(801) 277-6678
Mailing address
4624 S HOLLADAY BLVD STE 202, SALT LAKE CITY, UT 84117-7168
(801) 810-2999
(801) 407-0747
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1184807208
INDIVIDUAL NPI
UT
01
—
1356897821
INDIVIDUAL NPI
UT
01
—
1619935053
INDIVIDUAL NPI
UT
01
—
1740543834
INDIVIDUAL NPI
UT
01
—
1861622219
INDIVIDUAL NPI
UT
01
—
1972078723
GROUP NPI
UT
Enumeration date
10/08/2018
Last updated
12/26/2025
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