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

Physician Group of Utah Inc

Organization Specialist · NPI 1477676930

Physician Group of Utah Inc is a Specialist in South Jordan, Utah. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

406 W South Jordan Pkwy Ste 500
South Jordan, UT 84095-3965
Phone: (801) 984-3418
Fax: (801) 984-3479
Show map & directions

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

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1477676930
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ashley Koch — Cfo · (617) 562-7070
NPI enumeratedApril 9, 2007
Last updated in NPPESMarch 6, 2020
Certification dateMarch 6, 2020
Mailing addressPo Box 281415, Atlanta, GA 30384-1415

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