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

Genesis Vascular of Salt Lake

Organization Interventional Cardiology Physician · NPI 1104361591

Genesis Vascular of Salt Lake is an Interventional Cardiology Physician in Salt Lake City, Utah. Registered with an NPI since 2016.

In the registry since
2016
Specialties on file
3
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Practice location Address checks out

6321 S Redwood Rd Ste 102
Salt Lake City, UT 84123-6798
Phone: (385) 388-8003
Fax: (385) 344-4006
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Interventional Cardiology Physician (primary) Taxonomy 207RI0011X
Vascular & Interventional Radiology Physician Taxonomy 2085R0204X
Vascular Surgery Physician Taxonomy 2086S0129X

Record details

NPI number1104361591
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationGenesis Vascular of Salt Lake
Authorized official Dennis Munford — Manager · (385) 388-8003
Other names Genesis Vascular Of Salt Lake, Llc; Genesis Vascular Of Salt Lake, Llc
NPI enumeratedDecember 21, 2016
Last updated in NPPESOctober 7, 2020
Certification dateOctober 7, 2020
Mailing address6321 S Redwood Rd Ste 102, Taylorsville, UT 84123-6799

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