# Innovation Medical Group PC

- **NPI:** 1235526682
- **NPI Type:** Organization
- **Status:** Active
- **Enumeration date:** 2015-04-23
- **Last updated:** 2026-07-26
- **Practice address:** 6405 S 3000 E Ste 300, Salt Lake City, UT 84121-6977
- **Mailing address:** 6405 S 3000 E Ste 300, Salt Lake City, UT 84121-6977
- **Phone:** 801-266-3113

## Taxonomy

| Code | Description | License | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse |  |  | No |
| 163WI0500X | Registered Nurse, Infusion Therapy |  |  | No |
| 163WW0000X | Registered Nurse, Wound Care |  |  | No |
| 207Q00000X | Family Medicine |  |  | No |
| 207ZP0102X | Pathology, Anatomic Pathology & Clinical Pathology |  |  | No |
| 208600000X | Surgery |  |  | No |
| 213E00000X | Podiatrist |  |  | Yes |
| 213ES0103X | Podiatrist, Foot & Ankle Surgery |  |  | No |
| 225X00000X | Occupational Therapist |  |  | No |
| 2471V0106X | Radiologic Technologist, Vascular-Interventional Technology |  |  | No |
| 332B00000X | Durable Medical Equipment & Medical Supplies |  |  | No |
| 363A00000X | Physician Assistant |  |  | No |
| 363LC1500X | Nurse Practitioner, Community Health |  |  | No |
| 363LF0000X | Nurse Practitioner, Family |  |  | No |
| 363LP0808X | Nurse Practitioner, Psych/Mental Health |  |  | No |

## Provider directory

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- [Psychiatric residential treatment facilities in Utah](https://www.verifytx.com/npi-lookup/taxonomy/psychiatric-residential-treatment-facility/UT/)

## Data Notice:

The information provided by VerifyTreatment (VerifyTX) is sourced from the publicly available NPPES database, in accordance with the NPPES Data Dissemination Notice, Freedom of Information Act (FOIA), and e-FOIA amendments. Data is offered “as is” without warranty as to accuracy or reliability. For official NPI assistance, contact the NPI Enumerator at (800) 465-3203 or P.O. Box 6059, Fargo, ND 58108.

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