NPI 1124904057

Direct MD Utah LLC

Organisation General Practice Physician Midvale, UT

Practice location

Address: 7070 S Union Park Ave STE 300, Midvale, UT 84047-6061
Phone: (801) 421-0200

Authorised official

Name: Travis Winward
Title: Manager
Phone: (208) 740-9076

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X

Other General Practice providers in Utah →

Registry record

NPI: 1124904057
Entity type: Organization
NPI issued: 14 Aug 2025
Record last updated: 14 Aug 2025

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.