NPI 1093996167

Mountainstar Cardiovascular Services LLC

Organisation Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Orem, UT

Practice location

Address: 698 W 800 N Suite #210, Orem, UT 84057-3658
Phone: (801) 714-6412
Fax: (801) 714-6413

Authorised official

Name: Kirt L. Peterson
Title: Administrator
Phone: (801) 743-4750

Registered specialties

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208G00000X

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Registry record

NPI: 1093996167
Entity type: Organization
NPI issued: 16 Nov 2007
Record last updated: 16 Nov 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.