MEDICARE: CANYONS MEDICAL CENTER PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2300X	Primary Care Clinic/Center	2625861205	UT

General Provider Information

NPI Number	:	1043324312
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CANYONS MEDICAL CENTER PC

Provider Business Mailing Address
First Line	:	PO BOX 980700
Second Line	:
City	:	PARK CITY
State	:	UT
Zip	:	84098-0700
Country	:	US
Telephone Number	:	801-572-1616
Fax Number	:	801-572-3106

Provider Business Practice Location Address
First Line	:	9355 S 1300 E
Second Line	:
City	:	SANDY
State	:	UT
Zip	:	84094-3135
Country	:	US
Telephone Number	:	801-572-1616
Fax Number	:	801-572-3106

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	MICHAEL E COBBLE
Credential	:	MD
Telephone Number	:	801-666-6650

Provider Enumeration Date	:	08/17/2006
Last Update Date	:	11/06/2019

Similar Medicare Providers

1679590558 — ELIZABETH E AUGER DPM
Practice Location Address:

9355 S 1300 E
SANDY, UT
84094-3135

Practice Phone: 801-619-2170
Practice Fax: 877-428-7520

1982740361 — ELIZABETH E AUGER DPM PC
Practice Location Address:

9355 S 1300 E
SANDY, UT
84094-3135

Practice Phone: 801-619-2170
Practice Fax: 877-428-7520

1992927834 — MICHAEL E COBBLE
Practice Location Address:

9355 S 1300 E
SANDY, UT
84094-3135

Practice Phone: 801-572-1616
Practice Fax: 801-572-3106

1881496396 — GOOD LIFE WELLNESS AND EDUCATION, LLC
Practice Location Address:

9339 S 1300 E
SANDY, UT
84094-3135

Practice Phone: 801-441-6916
Practice Fax:

1477556298 — STEPHEN THOMAS SCHIFFGEN D.P.M.
Practice Location Address:

9690 S 1300 E , # 120
SANDY, UT
84094-3721

Practice Phone: 801-501-4335
Practice Fax: 801-501-4338

1942202106 — RUSSELL LAMAR SORENSEN MD
Practice Location Address:

9844 S 1300 E , STE 250
SANDY, UT
84094-4691

Practice Phone: 801-571-1552
Practice Fax: 801-571-1562

Directions to “CANYONS MEDICAL CENTER PC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.