| NPI | 1598425191 |
|---|---|
| Doing Business As | INNOVATION MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | TAYLOR G WRIGHT Owner Provider 801-266-3113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 213ES0103X Podiatrist Foot & Ankle Surgery | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 363L00000X Nurse Practitioner | |
| 363LF0000X Nurse Practitioner Family | |
| Enumeration Date | 2021-12-22 |
| Last Update Date | 2024-02-06 |