Edgewood Slc Ut02 LLC

Practice location

Address

5524 W 6200 S, Salt Lake City, UT 84118-7927

Phone

(801) 840-4600

Mailing address

PO Box 13238, Grand Forks, ND 58208-3238

Authorised official

Name

John Dybwad

Title

Vp Finance/Budget

Phone

(701) 738-2000

Registered specialties

Registry record

NPI

1053245738

Entity type

Organization

NPI issued

9 Jun 2026

Record last updated

11 Jun 2026

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.