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

Elk Ridge Family Practice PC

Organization Family Medicine Physician · NPI 1356519656

Elk Ridge Family Practice PC is a Family Medicine Physician in Payson, Utah. Licensed in Utah. Registered with an NPI since 2008.

Licensed in
UT
In the registry since
2008
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1172 E 100 N Ste 11
Payson, UT 84651-1668
Phone: (801) 465-6100
Fax: (801) 465-6114
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 5656211-1204 (UT)

Record details

NPI number1356519656
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dennis Concoby — President · (801) 465-6100
NPI enumeratedFebruary 20, 2008
Last updated in NPPESNovember 1, 2012
Mailing address1172 E 100 N Ste 11, Payson, UT 84651-1668

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