Organization · NPI-2

Innovation Medical Group PC

Podiatrist · Salt Lake City, UT

NPI number1235526682
StatusActive
Last updated in NPPESJul 26, 2026

Details

NPI
1235526682
Entity type
Organization (NPI-2)
Legal business name
Innovation Medical Group PC
Organization subpart
No
Enumeration date
Apr 23, 2015
Certification date
Jul 26, 2026
Last updated
Jul 26, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
213E00000X Podiatrist––Yes
163W00000X Registered Nurse––
163WI0500X Registered Nurse, Infusion Therapy––
163WW0000X Registered Nurse, Wound Care––
207Q00000X Family Medicine––
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology––
208600000X Surgery––
213ES0103X Podiatrist, Foot & Ankle Surgery––
225X00000X Occupational Therapist––
2471V0106X Radiologic Technologist, Vascular-Interventional Technology––
332B00000X Durable Medical Equipment & Medical Supplies––
363A00000X Physician Assistant––
363LC1500X Nurse Practitioner, Community Health––
363LF0000X Nurse Practitioner, Family––
363LP0808X Nurse Practitioner, Psych/Mental Health––

Practice location

6405 S 3000 E Ste 300
Salt Lake City, UT 84121-6977

Phone 801-266-3113 · Fax 801-266-5633

Mailing address

6405 S 3000 E Ste 300
Salt Lake City, UT 84121-6977

Phone 801-266-3113 · Fax 801-266-5633

Other practice locations

270 E 8th Ave Ste N102
Durango, CO 81301-5708

Phone 801-266-3113 · Fax 801-266-5633

46 N Main St
Blanding, UT 84511-2830

Phone 435-270-0271 · Fax 435-270-0272

3360 Washington Pkwy
Idaho Falls, ID 83404-8332

Phone 208-932-7024 · Fax 208-904-4447

4740 N Butler Ave
Farmington, NM 87401-0826

Phone 505-324-6300 · Fax 505-327-2218

836 S Angel St Ste 102
Layton, UT 84041-3687

Phone 435-291-1375 · Fax 801-823-6595

965 E 700 S Ste 105
St George, UT 84790-4084

Phone 435-775-2324 · Fax 435-775-2041

16 E 300 S
Monticello, UT 84535

Phone 435-270-0271 · Fax 435-270-0273

1900 E Historic Highway 66 Ste 1
Gallup, NM 87301-4883

Phone 505-324-6300 · Fax 505-327-2218

3152 N University Ave
Suite 240
Provo, UT 84604

Phone 801-900-5655

4760 N Butler Ave Ste B2
Farmington, NM 87401-0816

Phone 505-324-6300 · Fax 505-327-2218

Authorized official

Taylor G Wright
Ceo
8012663113

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Other Podiatrist providers in Salt Lake City, UT