Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Blue Rock Canyon Med, LLC

Organization Internal Medicine Physician · NPI 1316877905

Blue Rock Canyon Med, LLC is an Internal Medicine Physician in Salt Lake City, Utah. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

56 E Broadway Ste 3303
Salt Lake City, UT 84111-2232
Phone: (801) 796-2641
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1316877905
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Adam Binneboese — Director · (385) 549-4525
NPI enumeratedMay 23, 2026
Last updated in NPPESMay 23, 2026
Certification dateMay 23, 2026
Mailing address56 E Broadway Ste 3303, Salt Lake City, UT 84111-2232

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