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

Denali Specialty Clinic LLC

Organization General Practice Physician · NPI 1093683211

Denali Specialty Clinic LLC is a General Practice Physician in Bountiful, Utah. Registered with an NPI since 2025.

In the registry since
2025
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

415 Medical Dr Ste B200
Bountiful, UT 84010-4986
Phone: (801) 389-4697
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1093683211
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jacquee Stephens — Director Of Operations · (801) 857-9923
NPI enumeratedOctober 28, 2025
Last updated in NPPESOctober 28, 2025
Certification dateOctober 28, 2025
Mailing address415 Medical Dr Ste B200, Bountiful, UT 84010-4986

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