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Independence Physician and Resource

NPI 1851785919ActiveOrganization· General Practice· Bountiful, UT

General Practice in Bountiful, Utah, registered in NPPES in March 2015. The authorized official on file is Daniel Frasure, Managing Partner.

Overview

NPI1851785919
StatusActive
Entity typeOrganization
NPI issuedMar 26, 2015
Last updated in NPPESApr 3, 2015

Specialties and licenses

TaxonomyCodeLicenseState
General Practice Primary208D00000X——
Social Worker, Clinical1041C0700X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other General Practice providers in Bountiful

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