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

Integrated Functional Medicine

Organization General Practice Physician · NPI 1629407697

Integrated Functional Medicine is a General Practice Physician in Bountiful, Utah. Registered with an NPI since 2013.

In the registry since
2013

Practice location Address checks out

458 N 500 W
Bountiful, UT 84010-6948
Phone: (801) 292-9355
Fax: (801) 296-8050
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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 number1629407697
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cory Frogley — Owner · (801) 292-9355
NPI enumeratedNovember 11, 2013
Last updated in NPPESNovember 11, 2013
Mailing address458 N 500 W, Bountiful, UT 84010-6948

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