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

Woodmead Medical Clinic PLLC

Organization Clinic/Center · NPI 1194013870

Woodmead Medical Clinic PLLC is a Clinic/Center in Bountiful, Utah. Licensed in Utah. Registered with an NPI since 2011.

Licensed in
UT
In the registry since
2011
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3263 S Highway 89 Ste 300
Bountiful, UT 84010-8555
Phone: (801) 296-0600
Fax: (801) 295-1700
Show map & directions

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

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X · Licence 5863514-1205 (UT)
Clinic/Center Taxonomy 261Q00000X · Licence 284903-1205 (UT)

Record details

NPI number1194013870
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gavin Van Staden — Owner · (801) 296-0600
NPI enumeratedJuly 15, 2011
Last updated in NPPESJuly 15, 2011
Mailing address3263 S Highway 89, Suite 300, Bountiful, UT 84010-8555

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