Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Scope

Organization Family Medicine Physician · NPI 1447642988

Scope provides Family Medicine Physician services in Sandy, Utah. Licensed in Utah. Registered with an NPI since 2015.

Licensed in
UT
In the registry since
2015

Practice location Address checks out

10000 S Centennial Pkwy
Sandy, UT 84070-4148
Phone: (801) 568-4665
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 70619161204 (UT)

Record details

NPI number1447642988
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Darce Latsis — Director Of Client Services · (801) 441-1002
NPI enumeratedFebruary 20, 2015
Last updated in NPPESJanuary 30, 2020
Certification dateJanuary 30, 2020
Mailing address560 S 300 E Ste 275, Salt Lake City, UT 84111-3586

Other providers in Sandy