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

Wasatch Geriatrics PC

Organization Geriatric Medicine (Internal Medicine) Physician · NPI 1619993276

Wasatch Geriatrics PC is a Geriatric Medicine (Internal Medicine) Physician in Salt Lake City, Utah. Licensed in Utah. Registered with an NPI since 2006.

Licensed in
UT
In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1414 E 4500 S #1
Salt Lake City, UT 84117-4228
Phone: (801) 272-0255
Fax: (801) 947-0840
Show map & directions

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

Specialties & licences

Geriatric Medicine (Internal Medicine) Physician (primary) Taxonomy 207RG0300X · Licence 294016-2401 (UT)

Record details

NPI number1619993276
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charles Fehlauer — Owner · (801) 824-2748
NPI enumeratedJuly 15, 2006
Last updated in NPPESApril 22, 2026
Certification dateApril 22, 2026
Mailing address2773 E Etienne Way, Sandy, UT 84093-1116

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