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Contact Information

ASPEN PHYSICIAN GROUP LLC
1217 E 1650 S
BOUNTIFUL, UT84010-1586
 Phone: 801-997-1276
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for ASPEN PHYSICIAN GROUP LLC

NPI Number 1184210031
LBN Legal business name ASPEN PHYSICIAN GROUP LLC
Authorized official DEREK COLLETTE - (AUTHORIZED OFFICIAL)
Entity Organization
Organization subpart 1 No
Enumeration date 12/15/2020
Last updated 12/22/2023 - About 2 years 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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