Amdb Medical LLC
Family Medicine in Tooele, UT. Organization (NPI-2).
NPI number1205711157
StatusActive
Last updated in NPPESAug 9, 2025
Details
- NPI
- 1205711157
- Entity type
- Organization (NPI-2)
- Legal business name
- Amdb Medical LLC
- Organization subpart
- No
- Enumeration date
- Aug 9, 2025
- Certification date
- Aug 8, 2025
- Last updated
- Aug 9, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
| 207V00000X | Obstetrics & Gynecology | – | – | |
| 163W00000X | Registered Nurse | – | – | |
| 2084P0800X | Psychiatry & Neurology, Psychiatry | – | – | |
| 363A00000X | Physician Assistant | – | – | |
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | – | – |
Other names
- Amatoria Medical (Doing Business As)
Practice location
1244 N Main St Ste 101Tooele, UT 84074-9839
Phone 435-249-0007 · Fax 801-797-0141
Mailing address
1244 N Main St Ste 101Tooele, UT 84074-9839
Phone 435-249-0007 · Fax 801-797-0141
Authorized official
Anndrea Boyer
Owner
4352490007
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