1. Home
  2. Directory
  3. Utah
  4. Bluffdale
  5. Physician Assistant
  6. NPI Profile

ARIZONA INTEGRATIVE MEDICAL
NPI 1477358356
Physician Assistant in Bluffdale, UT

Active since February 15, 2025
14424 S CANVASBACK LN, BLUFFDALE, UT 84065(801) 580-9690 Get Directions Write a Review

NPPES record last updated: February 15, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Arizona Integrative Medical NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ARIZONA INTEGRATIVE MEDICAL (NPI 1477358356) is a healthcare organization registered as a physician assistant in Bluffdale, Utah and active in the NPI registry since February 2025. The organization lists Shannon Page Watt, Owner, Ceo, as its authorized official.

NPPES Registry Identity

NPI1477358356
Entity TypeOrganization
Primary Taxonomy363A00000X
Legal Business NameARIZONA INTEGRATIVE MEDICAL
Location Address14424 S CANVASBACK LNBluffdale, UT 84065-1762
Mailing Address980 E Pecos Rd Ste 3Chandler, AZ 85225-2438 · (801) 580-9690
Phone(801) 580-9690
Organization SubpartNo
Authorized OfficialShannon Page WattOwner, Ceo · (801) 580-9690
Enumeration DateFebruary 15, 2025
NPPES CertifiedFebruary 15, 2025
✔ NPI 1477358356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedChiropractorTaxonomy 111N00000X
14424 S CANVASBACK LN, Bluffdale, UT 84065
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Arizona Integrative Medical's NPI number?

The NPI number for Arizona Integrative Medical is 1477358356. It was assigned to this organization in the NPPES registry on February 15, 2025.

Where is Arizona Integrative Medical located?

Arizona Integrative Medical is located at 14424 S Canvasback Ln, Bluffdale, UT 84065. The listed phone number is (801) 580-9690.

What is Arizona Integrative Medical's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Arizona Integrative Medical was last updated on February 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.