Northeastern Utah Medical Group

Practice location Address checks out

210 W 300 N 7-3
Roosevelt, UT 84066
Phone: (435) 722-3971
Fax: (435) 722-6104

Additional practice locations (8)

• 15548 W 4000 W, Altamont, UT 84001 — (435) 454-3173
• 50 E 200 S, Duchesne, UT 84021 — (435) 738-2426
• 96 North 100 West, Manila, UT 84046 — (435) 784-3575
• 38080 West Sr 35, Tabiona Clinic, UT 84072 — (435) 848-5509
• 379 N 500 W, Vernal, UT 84078-1956 — (435) 781-2030
• 175 N 200 W 102, Vernal, UT 84078 — (435) 789-4489
• 475 N 500 W, Vernal, UT 84078-1907 — (435) 781-2030
• 405 N 500 W, Vernal, UT 84078-1907 — (435) 789-4691

Specialties & licences

Family Medicine Physician (primary)	Taxonomy 207Q00000X
Dermatology Physician	Taxonomy 207N00000X
Internal Medicine Physician	Taxonomy 207R00000X
Obstetrics & Gynecology Physician	Taxonomy 207V00000X
Ophthalmology Physician	Taxonomy 207W00000X
Orthopaedic Surgery Physician	Taxonomy 207X00000X
Otolaryngology Physician	Taxonomy 207Y00000X
Clinical Pathology/Laboratory Medicine Physician	Taxonomy 207ZP0105X
Pediatrics Physician	Taxonomy 208000000X
Physical Medicine & Rehabilitation Physician	Taxonomy 208100000X
Surgery Physician	Taxonomy 208600000X

Record details

NPI number	1982664199
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Brent Hales — Cfo · (435) 722-6164
NPI enumerated	March 23, 2006
Last updated in NPPES	October 23, 2025
Certification date	October 23, 2025
Mailing address	210 W 300 N, Roosevelt, UT 84066-2336