| NPI | 1710273297 |
|---|---|
| Doing Business As | MOUNTAINSTAR PROFESSIONAL SERVICES |
| Entity Type | Organization |
| Authorized Contact | JODY DIAL Division Controller 801-568-5977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 133V00000X Dietitian, Registered | |
| 207RC0200X Internal Medicine, Critical Care Medicine | |
| 207RP1001X Internal Medicine, Pulmonary Disease | |
| Enumeration Date | 2011-06-23 |
| Last Update Date | 2011-06-23 |