| NPI | 1477692119 |
|---|---|
| Doing Business As | MT. VIEW DIALYSIS CENTER |
| Entity Type | Organization |
| Authorized Contact | EDWIN C BULLOCH Administrator 435-781-2335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: UT ESRD-22801) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2020-08-22 |