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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MOUNTAIN WEST EAR NOSE AND THROAT LC

Active Organization

MOUNTAIN WEST EAR NOSE AND THROAT LC is a Otolaryngology organization located in BOUNTIFUL, Utah. NPI 1770631194 is currently active in the NPPES registry. Verify at CMS.

Otolaryngology · BOUNTIFUL, UT

Registration Details

NPI Number
1770631194
Provider Type
Organization
NPI Issued
Jan 8, 2007 (19.628526311407 yrs)
Last Updated
Aug 5, 2010
Licenses
178486-1205 (UT)
188579-1205 (UT)
5395A (WY)
5387A (WY)
182660-1205 (UT)

Practice Information

Address
1551 RENAISSANCE TOWNE DR
SUITE 310
BOUNTIFUL, UT, 840107667
Browse UT providers · Browse ZIP 84010
Phone
8012955581
Fax
8012959253
Primary Specialty
Otolaryngology
207Y00000X
Additional Specialty
Otolaryngology
Additional Specialty
Otolaryngology
Additional Specialty
Otolaryngology
Additional Specialty
Pediatric Otolaryngology
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.