NPI 1700902376

Mountain West Hearing and Speech

Organisation Audiologist-Hearing Aid Fitter Salt Lake City, UT

Practice location

Address: 777 E 4500 S STE 110, Salt Lake City, UT 84107-3056
Phone: (801) 268-6497
Fax: (801) 268-1376

Authorised official

Name: Richard S van Wagoner
Title: President
Phone: (801) 268-6497

Registered specialties

Audiologist-Hearing Aid Fitter Primary

Speech, Language and Hearing Service Providers Taxonomy 237600000X Licence 104094-4101 (UT)

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Registry record

NPI: 1700902376
Entity type: Organization
NPI issued: 22 Mar 2007
Record last updated: 22 Aug 2020

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.