OrganizationActive
Branchout Clinics PLLC
NPI 1245937432 · Clinic/Center · Salt Lake City, UT
Provider details
- NPI number
- 1245937432
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jeremiah Golesh, Billing Manager(801) 455-2687
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
5620 S Waterbury Way Ste A200
Salt Lake City, UT 84121-1180
Phone: (801) 455-8822
Approximate (ZIP-level) locationGet directions
Mailing address
5620 S Waterbury Way Ste A200
Salt Lake City, UT 84121-1180
Registry dates
- Enumerated
- 2023-02-08
- Last updated
- 2023-02-08
- Certified
- 2023-02-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.