NPI 1609751791
Primal Mountain Medical
Practice location
- Address
- 3098 Exec Pkwy STE 100, Lehi, UT 84048-5650
- Phone
- (435) 938-8657
Authorised official
- Name
- Jacob Egbert
- Title
- Owner
- Phone
- (435) 938-8657
Registered specialties
Physical Medicine & Rehabilitation Physician
Primary
Registry record
- NPI
- 1609751791
- Entity type
- Organization
- NPI issued
- 7 Aug 2025
- Record last updated
- 7 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.