Mountain Vista Medicine

LBN: Mountain Vista Medicine
Mountain Vista Medicine is an health care organization with primary practice located at 1258 W South Jordan Pkwy 103, South Jordan UT 84095. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Endocrinology, which is considered as the primary health care specialty. Mountain Vista Medicine can be contacted via phone (801) 838-9090, or through Swinyard, Mike T via phone (801) 838-9090.

Contact Information

Primary practice address
1258 W South Jordan Pkwy 103 South Jordan UT 84095
Phone: (801) 838-9090
Fax: (801) 838-9092
Website:
Map and Directions
Authorized official contact:
Name: Swinyard, Mike T Doctor of Medicine (MD)
Phone: (801) 838-9090

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Endocrinology 2080P0205X 292580-1205 Utah

Profile Details

NPI number 1609123512
LBN Legal business name Mountain Vista Medicine
DBA Doing business as
Authorized official Swinyard, Mike T Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 9th, 2012
Last updated Jul 2nd, 2018 - about 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609123512 NPPES
Other 1245222819 INDIVDUAL NPI

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