Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Hidden Valley Family Medicine Inc

Organization Family Medicine Physician · NPI 1144246984

Hidden Valley Family Medicine Inc provides Family Medicine Physician services in Draper, Utah. Licensed in Utah. Registered with an NPI since 2006.

Licensed in
UT
In the registry since
2006
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12176 S 1000 E
Draper, UT 84020-9716
Phone: (801) 572-3750
Fax: (801) 572-1097
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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 · Licence 188509-1205 (UT)
Family Medicine Physician Taxonomy 207Q00000X · Licence 181268-1205 (UT)
Family Medicine Physician Taxonomy 207Q00000X · Licence 181191-8905 (UT)

Record details

NPI number1144246984
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dani Lassiter — Practice Administrator · (801) 572-3750
NPI enumeratedJuly 14, 2006
Last updated in NPPESMay 8, 2024
Certification dateMay 8, 2024
Mailing address12176 S 1000 E Ste 4, Draper, UT 84020-3221

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