MOUNTAIN WEST FAMILY PRACTICE LLC

TOOELE, UT
NPI1770581605
Entity TypeOrganization
Authorized ContactBLAKE BEAZER
President
435-882-2350
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: UT  2005172)
Enumeration Date2005-07-13
Last Update Date2020-11-24
Business Address
MOUNTAIN WEST FAMILY PRACTICE LLC
2356 N 400 E SUITE 201
TOOELE, UT 84074
Phone number: 435-882-2350
Mailing Address
MOUNTAIN WEST FAMILY PRACTICE LLC
2356 N 400 E SUITE 201
TOOELE, UT 84074
Phone number: 435-882-2350
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