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

Denali Specialty Clinic LLC

Organization General Practice Physician · NPI 1093683211

Denali Specialty Clinic LLC provides General Practice Physician services in Bountiful, Utah. Registered with an NPI since 2025.

In the registry since
2025
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

415 Medical Dr Ste B200
Bountiful, UT 84010-4986
Phone: (801) 389-4697
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1093683211
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jacquee Stephens — Director Of Operations · (801) 857-9923
NPI enumeratedOctober 28, 2025
Last updated in NPPESOctober 28, 2025
Certification dateOctober 28, 2025
Mailing address415 Medical Dr Ste B200, Bountiful, UT 84010-4986

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