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

Integrated Functional Medicine

Organization Vascular & Interventional Radiology Physician · NPI 1396682258

Integrated Functional Medicine is a Vascular & Interventional Radiology Physician in Salt Lake City, Utah. Registered with an NPI since 2026.

In the registry since
2026
Specialties on file
2

Practice location Address checks out

4624 S Holladay Blvd Ste 202
Salt Lake City, UT 84117-7168
Phone: (385) 800-5015
Fax: (801) 277-6678
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X
Vascular & Interventional Radiology Physician Taxonomy 2085R0204X

Record details

NPI number1396682258
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Scott Frogley — Owner · (801) 816-0332
NPI enumeratedApril 30, 2026
Last updated in NPPESApril 30, 2026
Certification dateApril 29, 2026
Mailing address458 N 500 W, Bountiful, UT 84010-6948

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