Individual provider · NPI-1

Dr. William John Cimikoski Jr., M.D.

Family Medicine · Sandy, UT

NPI number1356532576

StatusActive

Last updated in NPPESAug 11, 2026

Details

NPI: 1356532576
Entity type: Individual (NPI-1)
Name: Dr. William John Cimikoski Jr.
Credential: M.D.
Sex: Male
Sole proprietor: No
Enumeration date: Aug 5, 2007
Certification date: Aug 11, 2026
Last updated: Aug 11, 2026

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207Q00000X	Family Medicine	316586-1205	UT	Yes
207PT0002X	Emergency Medicine, Medical Toxicology	MD 429410	PA
207P00000X	Emergency Medicine	316586-1205	UT

Practice location

9980 S. 300 W. Suite #150
Sandy, UT 84070

Phone 801-999-4860 · Fax 801-948-4120

Mailing address

9980 S. 300 W. Suite #150
Sandy, UT 84070

Phone 801-999-4860 · Fax 801-948-4120

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