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

Utah Modern Medical LLC

Organization General Practice Physician · NPI 1689310948

Utah Modern Medical LLC is a General Practice Physician in Lehi, Utah. Registered with an NPI since 2022.

In the registry since
2022
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

3300 N Ashton Blvd Ste 450
Lehi, UT 84043-6153
Phone: (385) 455-7170
Fax: (888) 823-5887
Show map & directions

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

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X
Medical Physician Assistant Taxonomy 363AM0700X

Record details

NPI number1689310948
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dave Bullock — Owner · (385) 455-7170
NPI enumeratedMay 10, 2022
Last updated in NPPESJuly 14, 2026
Certification dateJuly 14, 2026
Mailing address3300 N Ashton Blvd, Ste 450, Lehi, UT 84043-6153

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