Utah Modern Medical Llc

LBN: Utah Modern Medical Llc
Utah Modern Medical Llc is an health care organization with primary practice located at 14839 S Canyon Point Road , Draper UT 84020-1489. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Physician Assistants & Advanced Practice Nursing Providers / Medical. Allopathic & Osteopathic Physicians / General Practice is the primary health care specialty. Utah Modern Medical Llc can be contacted via phone (385) 414-2158, or through Bullock, Dave via phone (385) 414-2158.

Contact Information

Primary practice address
14839 S Canyon Point Road Draper UT 84020-1489
Phone: (385) 414-2158
Fax: (888) 823-5887
Website:
Map and Directions
Authorized official contact:
Name: Bullock, Dave
Phone: (385) 414-2158

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X

Profile Details

NPI number 1689310948
LBN Legal business name Utah Modern Medical Llc
DBA Doing business as
Authorized official Bullock, Dave
Entity Organization
Organization subpart 1 No
Enumeration date May 10th, 2022
Last updated Jul 7th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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