NPI 1689310948

Utah Modern Medical LLC

Organisation General Practice Physician Lehi, UT

Practice location

Address: 3300 N Ashton Blvd STE 450, Lehi, UT 84043-6153
Phone: (385) 455-7170
Fax: (888) 823-5887

Authorised official

Name: Dave Bullock
Title: Owner
Phone: (385) 455-7170

Registered specialties (2)

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X

Other General Practice providers in Utah →

Medical Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X

Other Physician Assistant providers in Utah →

Registry record

NPI: 1689310948
Entity type: Organization
NPI issued: 10 May 2022
Record last updated: 14 Jul 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.