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

Tooele Clinic Corp

Organization Family Medicine Physician · NPI 1073512364

Tooele Clinic Corp is a Family Medicine Physician in Tooele, Utah. Licensed in Utah. Registered with an NPI since 2005.

Licensed in
UT
In the registry since
2005
Specialties on file
9
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1887 Aaron Dr Ste B
Tooele, UT 84074-8138
Phone: (435) 775-9973
Fax: (435) 775-9985
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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 (UT)
Internal Medicine Physician Taxonomy 207R00000X
Obstetrics & Gynecology Physician Taxonomy 207V00000X
Sports Medicine (Orthopaedic Surgery) Physician Taxonomy 207XX0005X
Pediatrics Physician Taxonomy 208000000X
Surgery Physician Taxonomy 208600000X
Urology Physician Taxonomy 208800000X
Physician Assistant Taxonomy 363A00000X
Acute Care Nurse Practitioner Taxonomy 363LA2100X

Record details

NPI number1073512364
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Laura Fey — Sr. Director Physician Rev Cycle · (615) 221-3641
NPI enumeratedJuly 19, 2005
Last updated in NPPESApril 29, 2025
Certification dateApril 29, 2025
Mailing addressPo Box 5009, Brentwood, TN 37024-5009

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