Healthcare Provider Details

I. General information

NPI: 1427707397
Provider Name (Legal Business Name): ALEXANDER MADSEN KNUDSON MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/19/2022
Last Update Date: 07/03/2025
Certification Date: 07/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

325 W CENTER ST
SPANISH FORK UT
84660-2060
US

IV. Provider business mailing address

458 N 750 E
BOUNTIFUL UT
84010-2814
US

V. Phone/Fax

Practice location:
  • Phone: 801-894-1333
  • Fax: 801-798-8513
Mailing address:
  • Phone: 801-698-2636
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number14206991-1205
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: