Provider Demographics
NPI:1053854851
Name:UTAH EMERGNECY PHYSICIANS
Entity Type:Organization
Organization Name:UTAH EMERGNECY PHYSICIANS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NP
Authorized Official - Prefix:
Authorized Official - First Name:RAYMOND
Authorized Official - Middle Name:MATTHEW
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:801-599-3746
Mailing Address - Street 1:2795 FOOTHILL DR
Mailing Address - Street 2:
Mailing Address - City:OGDEN
Mailing Address - State:UT
Mailing Address - Zip Code:84403-0529
Mailing Address - Country:US
Mailing Address - Phone:801-599-3746
Mailing Address - Fax:
Practice Address - Street 1:2795 FOOTHILL DR
Practice Address - Street 2:
Practice Address - City:OGDEN
Practice Address - State:UT
Practice Address - Zip Code:84403-0529
Practice Address - Country:US
Practice Address - Phone:801-599-3746
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-28
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT02282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital