NPI 1124079843

Mountainwest Surgical Center LLC

Organisation Ambulatory Surgical Clinic/Center Bountiful, UT

Practice location

Address: 1551 S Renaissance Towne Dr Suite 200, Bountiful, UT 84010-7667
Phone: (801) 383-1111
Fax: (801) 383-1115
Mailing address: 1551 Renaissance Towne Dr STE 200, Bountiful, UT 84010-7668

Authorised official

Name: Brian Berg
Title: Administrator
Phone: (801) 383-1111

Registered specialties

Ambulatory Surgical Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QA1903X Licence 2006-31532 (UT)

Other Clinic/Center providers in Utah →

Registry record

NPI: 1124079843
Entity type: Organization
NPI issued: 15 May 2006
Record last updated: 28 Oct 2009

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.