Healthcare Provider Details

I. General information

NPI: 1700458445
Provider Name (Legal Business Name): TALEN JOSEPH TREMEA PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/13/2021
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5334 S WOODROW ST STE 100
MURRAY UT
84107-5838
US

IV. Provider business mailing address

5334 S WOODROW ST STE 100
MURRAY UT
84107-5838
US

V. Phone/Fax

Practice location:
  • Phone: 801-713-6000
  • Fax:
Mailing address:
  • Phone: 801-713-6000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number13516808-1206
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: