NPI 1033671540

Physician Group of Utah INC

Organisation Obstetrics & Gynecology Physician Layton, UT

Practice location

Address: 1580 W Antelope Dr STE 290, Layton, UT 84041-1179
Phone: (801) 776-0880
Fax: (801) 773-7399
Mailing address: PO Box 281415, Atlanta, GA 30384-1415

Authorised official

Name: Tyler K Wilko
Title: Ceo
Phone: (801) 984-3293

Registered specialties

Obstetrics & Gynecology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207V00000X

Other Obstetrics & Gynecology providers in Utah →

Registry record

NPI: 1033671540
Entity type: Organization
NPI issued: 3 Apr 2019
Record last updated: 3 Apr 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.