Provider Demographics
NPI:1821193897
Name:UTAH PHYSICIANS CARE CENTER
Entity Type:Organization
Organization Name:UTAH PHYSICIANS CARE CENTER
Other - Org Name:ALTA VIEW INTERNAL MEDICIN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:PHILIP
Authorized Official - Middle Name:D
Authorized Official - Last Name:ROBERTS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:801-571-0311
Mailing Address - Street 1:10965 S STATE ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:SANDY
Mailing Address - State:UT
Mailing Address - Zip Code:84070-4270
Mailing Address - Country:US
Mailing Address - Phone:801-571-0311
Mailing Address - Fax:801-571-1369
Practice Address - Street 1:10965 S STATE ST
Practice Address - Street 2:SUITE 100
Practice Address - City:SANDY
Practice Address - State:UT
Practice Address - Zip Code:84070-4270
Practice Address - Country:US
Practice Address - Phone:801-571-0311
Practice Address - Fax:801-571-1369
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty