NPI 1710695473
Mountain Ridge Healthcare PLLC
Practice location
- Address
- 2135 W Main St STE B105, Lehi, UT 84043-6936
- Phone
- (801) 663-1296
- Mailing address
- 174 S 600 E, Alpine, UT 84004-1724
Authorised official
- Name
- Chad Lloyd Roberts
- Title
- Physician / Business Owner
- Phone
- (801) 663-1296
Registered specialties
Family Medicine Physician
Primary
Registry record
- NPI
- 1710695473
- Entity type
- Organization
- NPI issued
- 11 Nov 2022
- Record last updated
- 15 Nov 2022
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.