Mountain West Family Practice Llc

LBN: Mountain West Family Practice Llc
Mountain West Family Practice Llc is an health care organization with primary practice located at 2356 N 400 E Suite 201, Tooele UT 84074. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Mountain West Family Practice Llc can be contacted via phone (435) 882-2350, or through Beazer, Blake via phone (435) 882-2350.

Contact Information

Primary practice address
2356 N 400 E Suite 201 Tooele UT 84074
Phone: (435) 882-2350
Fax: (435) 882-2039
Website:
Map and Directions
Authorized official contact:
Name: Beazer, Blake Doctor of Medicine (MD)
Phone: (435) 882-2350

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2005172 Utah

Profile Details

NPI number 1770581605
LBN Legal business name Mountain West Family Practice Llc
DBA Doing business as
Authorized official Beazer, Blake Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 13th, 2005
Last updated Nov 24th, 2020 - about 6 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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