NPI | 1366719015 |
---|---|
Doing Business As | MOUNTAIN WEST PEDIATRICS AND BEDTIME KIDS CARE |
Entity Type | Organization |
Authorized Contact | JIM J GOULD Owner 435-843-8380 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center (Licence: UT 49470565-8905) |
Enumeration Date | 2011-11-23 |
Last Update Date | 2011-11-23 |