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Contact Information

INTEGRATED FUNCTIONAL MEDICINE
4624 S HOLLADAY BLVD STE 202
SALT LAKE CITY, UT84117-7168
 Phone: 385-800-5015
 Fax: 801-277-6678
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Vascular & Interventional Radiology

2085R0204X 94 Physician/Interventional Radiology
Indicates primary specialty

NPI Profile & details for INTEGRATED FUNCTIONAL MEDICINE

NPI # 1396682258
LBN Legal business name INTEGRATED FUNCTIONAL MEDICINE
Authorized official SCOTT FROGLEY - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/30/2026
Last updated 04/30/2026 - About a month ago
Identifiers n/a
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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