MEDICARE: UTAH ENDOCRINOLOGY ASSOCIATES PLLC

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	207RE0101X	Endocrinology, Diabetes & Metabolism Physician
2	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	4848079-1205	UT

General Provider Information

NPI Number	:	1417121609
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UTAH ENDOCRINOLOGY ASSOCIATES PLLC

Provider Business Mailing Address
First Line	:	470 E 3900 S STE 200
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84107-2332
Country	:	US
Telephone Number	:	801-747-2800
Fax Number	:	801-747-5222

Provider Business Practice Location Address
First Line	:	470 EAST 3900 SOUTH
Second Line	:	#200
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84107-2332
Country	:	US
Telephone Number	:	801-747-2800
Fax Number	:	801-747-3022

Authorized Official
Title or Position	:	BILLING/CREDENTIALING
Name	:	SHARON PRESTON
Credential	:
Telephone Number	:	801-747-2800

Provider Enumeration Date	:	04/17/2008
Last Update Date	:	04/12/2022

Similar Medicare Providers

1467474676 — BRUCE RYAN BRADY M.D.
Practice Location Address:

470 EAST 3900 SOUTH , #200
SALT LAKE CITY, UT
84107-2332

Practice Phone: 801-747-2800
Practice Fax: 801-747-3022

1891906541 — DR. SUSAN ABU-KHALAF M.D.
Practice Location Address:

470 EAST 3900 SOUTH , #200
SALT LAKE CITY, UT
84107-2332

Practice Phone: 801-747-2800
Practice Fax: 801-747-3022

1598213175 — JACLYNN WILKERSON
Practice Location Address:

470 E 3900 S STE 200
SALT LAKE CITY, UT
84107-2332

Practice Phone: 801-747-2800
Practice Fax:

1689187627 — KELLY PERKINS PA
Practice Location Address:

470 E 3900 S STE 200
SALT LAKE CITY, UT
84107-2332

Practice Phone: 801-747-2800
Practice Fax:

1295346591 — PATRICIA MYRUP AXTMAN APRN-BC
Practice Location Address:

470 E 3900 S STE 200
SALT LAKE CITY, UT
84107-2332

Practice Phone: 801-747-2800
Practice Fax: 801-747-5222

1548904451 — LYNAE CLARK SORENSEN APRN
Practice Location Address:

470 E 3900 S STE 200
SALT LAKE CITY, UT
84107-2332

Practice Phone: 801-747-2800
Practice Fax:

Directions to “UTAH ENDOCRINOLOGY ASSOCIATES PLLC ” 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.