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1134705759
MOUNTAIN WEST ANESTHESIA LLC
PROVO, UT
NPI
1134705759
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Entity Type
Organization
Authorized Contact
COURTNEY MITCHELL BAILEY
President
435-649-1346
Organization Subpart ?
No
Primary Taxonomy
207L00000X Anesthesiology
Enumeration Date
2021-03-23
Last Update Date
2021-03-23
Business Address
MOUNTAIN WEST ANESTHESIA LLC
1034 N 500 W
PROVO, UT 84604-3380
Phone number: 801-357-7850
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Mailing Address
MOUNTAIN WEST ANESTHESIA LLC
PO BOX 3570
SALT LAKE CITY, UT 84110-3570
Phone number: 801-727-2056
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