Mountain West Ear Nose And Throat Lc

LBN: Mountain West Ear Nose And Throat Lc
Mountain West Ear Nose And Throat Lc is an health care organization with primary practice located at 1551 Renaissance Towne Dr Suite 310, Bountiful UT 84010-7667. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Pediatric Otolaryngology. Allopathic & Osteopathic Physicians / Otolaryngology is the primary health care specialty. Mountain West Ear Nose And Throat Lc can be contacted via phone (801) 295-5581, or through Stock, Curt R via phone (801) 295-5581.

Contact Information

Primary practice address
1551 Renaissance Towne Dr Suite 310 Bountiful UT 84010-7667
Phone: (801) 295-5581
Fax: (801) 295-9253
Website:
Map and Directions
Authorized official contact:
Name: Stock, Curt R Doctor of Medicine (MD)
Phone: (801) 295-5581

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 264339-1205 Utah
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 178486-1205 Utah
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 188579-1205 Utah
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 5395A Wyoming
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 5387A Wyoming
Allopathic & Osteopathic Physicians / Pediatric Otolaryngology 207YP0228X 182660-1205 Utah

Profile Details

NPI number 1770631194
LBN Legal business name Mountain West Ear Nose And Throat Lc
DBA Doing business as
Authorized official Stock, Curt R Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 8th, 2007
Last updated Aug 5th, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1770631194 NPPES
Wyoming MEDICAID 124257100
Wyoming MEDICAID 108796700
Wyoming Other DA4984

Popular Providers