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

Premier Family Medical - Eagle Mountain

Organization Family Medicine Physician · NPI 1043762479

Premier Family Medical - Eagle Mountain is a Family Medicine Physician in Eagle Mountain, Utah. Registered with an NPI since 2016.

In the registry since
2016

Practice location Address checks out

3943 E Pony Express Pkwy Ste 120
Eagle Mountain, UT 84005-5543
Phone: (801) 756-3511
Fax: (801) 756-1705
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1043762479
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationPremier Family Medical
Authorized official Heather Guymon — Credentialing Specialist · (801) 769-2571
NPI enumeratedNovember 2, 2016
Last updated in NPPESMarch 22, 2024
Certification dateMarch 22, 2024
Mailing address3943 E Pony Express Pkwy Ste 120, Eagle Mountain, UT 84005-5543

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