Provider Demographics
NPI:1871375659
Name:URGENT SPECIALTY ASSOCIATES OF UTAH PLLC
Entity type:Organization
Organization Name:URGENT SPECIALTY ASSOCIATES OF UTAH PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:D
Authorized Official - Last Name:JOSPEHS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:469-766-8747
Mailing Address - Street 1:9635 MAROON CIR STE 410
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80112-5927
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1220 E 3900 S STE 4E
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84124-1343
Practice Address - Country:US
Practice Address - Phone:385-347-3773
Practice Address - Fax:857-438-4133
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-17
Last Update Date:2024-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0102XAllopathic & Osteopathic PhysiciansSurgerySurgical Critical CareGroup - Multi-Specialty