Healthcare Provider Details

I. General information

NPI: 1477643179
Provider Name (Legal Business Name): UTAH CARDIOLOGY PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/13/2006
Last Update Date: 04/04/2025
Certification Date: 04/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

444 W BOURNE CIRCLE SUITE 200
FARMINGTON UT
84025
US

IV. Provider business mailing address

444 W BOURNE CIRCLE SUITE 200
FARMINGTON UT
84025
US

V. Phone/Fax

Practice location:
  • Phone: 801-397-3000
  • Fax: 801-397-0455
Mailing address:
  • Phone: 801-397-3000
  • Fax: 801-397-0455

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number
License Number StateUT

VIII. Authorized Official

Name: JAMI DARNELL
Title or Position: ADMINISTRATOR
Credential:
Phone: 801-397-3000