Healthcare Provider Details

I. General information

NPI: 1801341961
Provider Name (Legal Business Name): ALLERGY ASSOCIATES OF UTAH, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2016
Last Update Date: 10/14/2024
Certification Date: 10/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7390 S CREEK RD STE 201
SANDY UT
84093-6123
US

IV. Provider business mailing address

6095 S FASHION BLVD SUITE 100
MURRAY UT
84107-7397
US

V. Phone/Fax

Practice location:
  • Phone: 801-263-8700
  • Fax: 801-263-8693
Mailing address:
  • Phone: 801-263-8700
  • Fax: 801-263-8693

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License Number
License Number State

VIII. Authorized Official

Name: ANDREW SMITH
Title or Position: OWNER/PHYSICIAN
Credential: M.D.
Phone: 801-263-8700