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

Physician Group of Utah Inc

Organization Specialist · NPI 1477676930

Physician Group of Utah Inc provides Specialist services in South Jordan, Utah. Registered with an NPI since 2007.

In the registry since
2007
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

406 W South Jordan Pkwy Ste 500
South Jordan, UT 84095-3965
Phone: (801) 984-3418
Fax: (801) 984-3479
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1477676930
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ashley Koch — Cfo · (617) 562-7070
NPI enumeratedApril 9, 2007
Last updated in NPPESMarch 6, 2020
Certification dateMarch 6, 2020
Mailing addressPo Box 281415, Atlanta, GA 30384-1415

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