NPI 1245517408
Mountainstar Intensivist Services LLC
Practice location
- Address
- 750 W 800 N, Orem, UT 84057-3660
- Phone
- (801) 714-6387
- Fax
- (801) 714-6596
- Mailing address
- 2000 Health Park Dr, Brentwood, TN 37027-4692
Authorised official
- Name
- William Tedrick Johnson
- Title
- Vice President
- Phone
- (615) 372-3375
Registered specialties
Critical Care Medicine (Internal Medicine) Physician
Primary
Registry record
- NPI
- 1245517408
- Entity type
- Organization
- NPI issued
- 15 Nov 2011
- Record last updated
- 29 Aug 2023
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.