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

Pioneer Comprehensive Medical LLC

Organization Family Medicine Physician · NPI 1891975595

Pioneer Comprehensive Medical LLC is a Family Medicine Physician in Draper, Utah. Licensed in Utah. Registered with an NPI since 2007.

Licensed in
UT
In the registry since
2007
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12433 Fort St
Draper, UT 84020-9363
Phone: (801) 576-1086
Fax: (801) 576-9796
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 891818251205 (UT)
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1891975595
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robin Olsen — Office Manager · (801) 576-1086
NPI enumeratedNovember 9, 2007
Last updated in NPPESJanuary 2, 2024
Certification dateJanuary 2, 2024
Mailing address12433 Fort St, Draper, UT 84020-9363

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