Mountainwest Surgical Center Llc

NPI 1124079843 - Clinic/Center - 261QA1903X

NPI Details
NPI 1124079843
Enumeration Date 05/15/2006
Last Updated 10/28/2009
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name BRIAN BRIAN
Position ADMINISTRATOR
Phone (801) 383-1111
Fax (801) 383-1115
Practice Location
1551 S RENAISSANCE TOWNE DR
SUITE 200
BOUNTIFUL UT, 84010-7667, US
Phone (801) 383-1111
Fax (801) 383-1115
Business Location
1551 RENAISSANCE TOWNE DR STE 200
BOUNTIFUL UT, 84010-7668, US
Phone (801) 383-1111
Fax (801) 383-1115
Toxanomy
Taxonomy Code 261QA1903X
License State Utah
License Number 2006-31532
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According to our database, Mountainwest Surgical Center Llc NPI is 1124079843, taxonomy code is 261QA1903X and license number is 2006-31532, license state is located at Utah. Mountainwest Surgical Center Llc physically located at 1551 S Renaissance Towne Dr, Bountiful UT, 84010-7667. NPI Number 1033115704 has the healthcare provider type.

1124079843 NPI number is provided on an as is basis without warranty of any kind. 1124079843 is maintained by the National Plan & Provider Enumeration System. The contents of Mountainwest Surgical Center Llc are for informational purposes only.