Healthcare Provider Details
I. General information
NPI: 1629982905
Provider Name (Legal Business Name): URGENT SPECIALTY ASSOCIATES OF UTAH PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3592 W 9000 S
WEST JORDAN UT
84088-8859
US
IV. Provider business mailing address
9635 MAROON CIR STE 410
ENGLEWOOD CO
80112-5927
US
V. Phone/Fax
- Phone: 385-645-6405
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2086S0102X |
| Taxonomy | Surgical Critical Care Physician |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name: DR.
JOHN
D
JOSEPHS
Title or Position: PRESIDENT
Credential:
Phone: 469-609-9908