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Contact Information

UTAH GASTROENTEROLOGY LLC
620 EAST MEDICAL DRIVE
SUITE 205
BOUNTIFUL, UT84010-5084
 Phone: 801-298-0057
 Fax: 801-298-9765
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gastroenterology

207RG0100X 10 Physician/Gastroenterology
Indicates primary specialty

NPI Profile & details for UTAH GASTROENTEROLOGY LLC

NPI # 1457393761
LBN Legal business name UTAH GASTROENTEROLOGY LLC
Authorized official CHRISTINE MORRIS - (CORPORATE ADMINISTRATOR)
Entity Organization
Organization subpart 1 Yes
Enumeration date 06/12/2006
Last updated 07/22/2021 - About 5 years ago
Identifiers
UT Other CD3562 RAILROAD MEDICARE PIN
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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