Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PRESIDIUM MEDICAL GROUP PLLC
Active OrganizationPRESIDIUM MEDICAL GROUP PLLC is a Adolescent Medicine organization located in SALT LAKE CITY, Utah. NPI 1689461774 is currently active in the NPPES registry. Verify at CMS.
Adolescent Medicine · SALT LAKE CITY, UT
Registration Details
- NPI Number
- 1689461774
- Provider Type
- Organization
- NPI Issued
- Apr 22, 2025 (1.320876320735 yrs)
- Last Updated
- Apr 22, 2025
Practice Information
- Address
-
32 E EXCHANGE PL FL 6SALT LAKE CITY, UT, 841112704Browse UT providers · Browse ZIP 84111
- Phone
- 6197385566
- Primary Specialty
-
Adolescent Medicine
207QA0505X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.